Individual provider Active NPI

Raghunandan Ghimire

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1912375916
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264680 Issued in MA
Practice address
725 North St
Depatment of Medicine
Pittsfield, MA 01201-4109
Phone
(413) 447-2839
Fax
(413) 447-2088
NPI assigned
Sep 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264680 MA Primary

Addresses

Primary practice location

725 North St
Depatment of Medicine
Pittsfield, MA 01201-4109

Mailing address

725 North St
Depatment of Medicine
Pittsfield, MA 01201-4109
Phone (413) 447-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181224000412 MA Practitioner - Internal Medicine 4284979055 Reassigns benefits to 1 organization
I20250522001532 MI Practitioner - Internal Medicine 4284979055 Reassigns benefits to 1 organization
I20251016000749 MD Practitioner - Internal Medicine 4284979055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264680MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Adams Regional Hospital Corporation Current Accepting new patients
Berkshire Medical Center Inc. CurrentSince Nov 8, 2018 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Nov 8, 2018 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Aug 3, 2025 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 3, 2025 Accepting new patients
St. Agnes Healthcare, Inc. 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

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

Organizations & group practices 6

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1912375916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "DEPATMENT OF MEDICINE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2839",
            "fax_number": "413-447-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "DEPATMENT OF MEDICINE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2839",
            "fax_number": "413-447-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIMIRE",
        "first_name": "RAGHUNANDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "264680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.