Active NPI
David A.N. Siegel, MD
- Interventional Pain Medicine Physician
- Pittsfield, MA
National Provider Identifier
1861447955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 245337
- Practice address
- 294 First Street
Pittsfield, MA 01201 - Phone
- (413) 443-7799
- Fax
- (413) 443-7662
- NPI assigned
- May 24, 2006
- Last updated
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 217196 | NY | |
| Pain Medicine Physician | 208VP0000X | 245337 | MA | |
| Interventional Pain Medicine Physician | 208VP0014X | 245337 | MA | Primary |
Addresses
Primary practice location
294 First Street
Pittsfield, MA 01201
Mailing address
PO Box 4193
Pittsfield, MA 01202-4193
Phone (413) 443-7799
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3971993 | Other | NY | AETNA HMO |
| P3611255 | Other | NY | OXFORD |
| 217196 | Other | NY | WORKERS' COMPENSATION |
| 2799102 | Other | NY | GHI |
| 245337 | Other | MA | MA LICENSE |
| 4C9164 | Other | NY | HEATHNET |
| 7982471 | Other | NY | AETNA PPO |
| 9384662 | Other | NY | PHCS |
| 1000037102 | Other | NY | AFFINITY HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 14, 2017 through Jun 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245337 | MA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Best Physical Therapy PC | Past | Accepting new patients | |
| Beth Israel Medical Center | Pain Medicine | Past | Accepting new patients |
| David a.N. Siegel, MD PC | Pain Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Occupational Medicine Physician
- Pittsfield, MA
- NPI 1174885727
-
dba Pain Medicine & Rehabilitation Associates
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
- NPI 1700839784
-
dba Bimc Pain and Palliative Care
- Pain Medicine Physician
- New York, NY
- NPI 1558326702
-
dba Apollo Physical Therapy
- Physical Therapist
- New York, NY
- NPI 1487789269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1861447955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4193",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012024193",
"telephone_number": "413-443-7799",
"fax_number": "413-443-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 FIRST STREET",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-443-7799",
"fax_number": "413-443-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "DAVID",
"middle_name": "A.N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "217196",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MA",
"license": "245337",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MA",
"license": "245337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3971993",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3611255",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION",
"identifier": "217196",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2799102",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE",
"identifier": "245337",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATHNET",
"identifier": "4C9164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7982471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9384662",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH PLANS",
"identifier": "1000037102",
"state": "NY"
}
],
"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 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.