Individual provider Active NPI

David Whiting Wilson, M.D.

  • Anesthesiology Physician
  • Pittsfield, MA
National Provider Identifier
1841396587
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
78203 Issued in MA
Practice address
777 North St
Pittsfield, MA 01201-4147
Phone
(413) 447-2000
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 78203 MA Primary

Addresses

Primary practice location

777 North St
Pittsfield, MA 01201-4147

Mailing address

425 Summer St
Lanesboro, MA 01237-9526
Phone (413) 443-6142

Other identifiers 1

IdentifierTypeStateIssuer
3115895MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 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
I20060504000330 MA Practitioner - AnesthesiologyPractitioner - Pain Management 9133139157 Reassigns benefits to 3 organizations
I20250610000608 MI Practitioner - Anesthesiology 9133139157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Adams Regional Hospital CorporationGroup PAC ID 2961846886, shared by 3 NPIs, 16 clinicians
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 664-5000

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center Inc. CurrentSince May 8, 2014 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince May 6, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince May 6, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince May 8, 2014 Accepting new patients
Williamstown Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients

Locations

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

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1841396587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SUMMER ST",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379526",
            "telephone_number": "413-443-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147",
            "telephone_number": "413-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "WHITING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "78203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115895",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.