NPIMap

Individual provider Active NPI

Konstantin Vatrenko, DO

  • Emergency Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1760504914
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
270099 Issued in MA
Practice address
725 North Street
Emergency Medicine
Pittsfield, MA 01201
Phone
(413) 395-7572
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 270099 MA Primary

Addresses

Primary practice location

725 North Street
Emergency Medicine
Pittsfield, MA 01201

Mailing address

725 North Street
Emergency Medicine
Pittsfield, MA 01201
Phone (413) 395-7572

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203-2056
Phone (718) 270-2045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727003968 MA Practitioner - Emergency Medicine 8123199619 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

115 W Silver St
Westfield, MA 01085-3678
Phone (413) 568-2811

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
270099MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Baystate Franklin Medical Center Single Specialty CurrentSince Sep 14, 2017 Accepting new patients
Mercy Inpatient Medical Associates Inc. Single Specialty CurrentSince Apr 4, 2022 Accepting new patients
Berkshire Medical Center, Inc Single Specialty CurrentSince Aug 1, 2017 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Mar 1, 2025 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Aug 1, 2017 Accepting new patients
North Adams Regional Hospital Corporation Single Specialty CurrentSince Apr 25, 2024 Accepting new patients
Beth Israel Medical Center Emergency Medicine Past Accepting new patients
University Physicians of Brooklyn, Inc. Single Specialty Past Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

Interoperability endpoints

  • Direct secure messaging: kvatrenko2388934@direct.trinity-health.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760504914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH STREET",
            "address_2": "EMERGENCY MEDICINE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-395-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH STREET",
            "address_2": "EMERGENCY MEDICINE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-395-7572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032056",
            "country_code": "US",
            "telephone_number": "718-270-2045",
            "fax_number": "718-270-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VATRENKO",
        "first_name": "KONSTANTIN",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "270099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.