Organization Active NPI

Berkshire Clinical Associates LLC

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1821161795
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215563 Issued in MA
Legal business name
BERKSHIRE CLINICAL ASSOCIATES LLC
Practice address
188 East St Ste 103
Pittsfield, MA 01201-5362
Phone
(413) 442-8324
Fax
(413) 442-8334
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Dr. Malathi Yella, MDNPI 1043393895
Title
Partner
Phone
(413) 442-8324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 215563 MA Primary

Addresses

Primary practice location

188 East St Ste 103
Pittsfield, MA 01201-5362

Mailing address

20 Meadow Ridge Dr
Pittsfield, MA 01201-5762
Phone (413) 329-4437

Other practice location 1

51 S Church St
Pittsfield, MA 01201-6132
Phone (413) 329-4437

Other identifiers 2

IdentifierTypeStateIssuer
661784OtherMATUFTS HEALTH PLAN
BCBSOtherMAM19229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000364 MA Part B Supplier - Clinic/Group Practice 6709885643 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsfield, MA

National Provider Directory

National Provider Directory

Locations

188 East St
Ste 103
Pittsfield, MA 01201
Phone (413) 442-8324

51 S Church St
Pittsfield, MA 01201
Phone (413) 442-8330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1821161795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEADOW RIDGE DR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015762",
            "telephone_number": "413-329-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 EAST ST STE 103",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015362",
            "telephone_number": "413-442-8324",
            "fax_number": "413-442-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 S Church St",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012016132",
            "country_code": "US",
            "telephone_number": "413-329-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERKSHIRE CLINICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "YELLA",
        "authorized_official_first_name": "MALATHI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "413-442-8324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "215563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "661784",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M19229",
            "identifier": "BCBS",
            "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 Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.