Individual provider Active NPI

Pamela A Obert, CCCA

  • Audiologist
  • Pittsfield, MA
National Provider Identifier
1821041120
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
35 Issued in MA
Practice address
510 North Street
Suite 6 Room 202
Pittsfield, MA 01201-4117
Phone
(413) 447-2225
Fax
(413) 346-6798
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 35 MA Primary

Addresses

Primary practice location

510 North Street
Suite 6 Room 202
Pittsfield, MA 01201-4117

Mailing address

725 North Street
Pittsfield, MA 01201-4124
Phone (413) 447-2225

Other identifiers 1

IdentifierTypeStateIssuer
AD0048OtherMABC/BS OF MASSACHUSETTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100306000143 MA Practitioner - Qualified Audiologist 0042355687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 395-7694

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35MAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Feb 8, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Feb 8, 2024 Accepting new patients
Greylock Ear Nose and Throat Associates PC Past Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

510 North St
Ste 202
Pittsfield, MA 01201
Phone (413) 442-2462

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1821041120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014124",
            "telephone_number": "413-447-2225",
            "fax_number": "413-346-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH STREET",
            "address_2": "SUITE 6 ROOM 202",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014117",
            "telephone_number": "413-447-2225",
            "fax_number": "413-346-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERT",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MASSACHUSETTS",
            "identifier": "AD0048",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.