Individual provider Active NPI

Keturah Baker, MD

  • Pediatrics Physician
  • Pittsfield, MA
National Provider Identifier
1831610229
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
70833 Issued in WI
Practice address
777 North St Ste 305
Pittsfield, MA 01201-4172
Phone
(413) 499-8531
NPI assigned
Jul 6, 2017
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 70833 WI Primary

Addresses

Primary practice location

777 North St Ste 305
Pittsfield, MA 01201-4172

Mailing address

777 North St
Pittsfield, MA 01201-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210122002660 MA Practitioner - Pediatric Medicine 8224371836 Reassigns benefits to 1 organization
I20260528001155 NY Practitioner - Pediatric Medicine 8224371836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

71 Prospect Ave
Hudson, NY 12534-2927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70833WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. Current Accepting new patients
Community Health Programs CurrentSince Jan 1, 2021 Accepting new patients
Community Health Programs, Inc. Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Berkshire Pediatric Associates PC Pediatrics PastSince Aug 23, 2020 Accepting new patients

Locations

777 North St
Ste 305
Pittsfield, MA 01201
Phone (413) 499-8531

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3792/brand/1/csg/22/fhir/r4
  • Direct secure messaging: keturah.baker.1@3792.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1831610229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST STE 305",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014172",
            "telephone_number": "413-499-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KETURAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "70833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.