NPIMap

Individual provider Active NPI

Stephen A Alsdorf, M.D

  • Family Medicine Physician
  • Great Barrington, MA
National Provider Identifier
1952358749
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226367 Issued in MA
Practice address
444 Stockbridge Road
Great Barrington, MA 01230
Phone
(413) 528-8580
Fax
(413) 528-8583
NPI assigned
May 28, 2006
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226367 MA Primary

Addresses

Primary practice location

444 Stockbridge Road
Great Barrington, MA 01230

Mailing address

P.O. Box 30
Great Barrington, MA 01230
Phone (413) 528-9311

Other identifiers 2

IdentifierTypeStateIssuer
2111314MedicaidMA
110041695AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000382 MA Practitioner - Family Practice 2264453448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Programs IncGroup PAC ID 5799746608, 45 clinicians

Practice addresses (Care Compare)

444 Stockbridge Rd
Great Barrington, MA 01230-1295
Phone (413) 528-8580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Community Health Programs, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Community Health Programs Past Accepting new patients

Locations

444 Stockbridge Rd
Gt Barrington, MA 01230
Phone (413) 528-8580

Interoperability endpoints

  • Direct secure messaging: stephen.alsdorf.1@3792.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1952358749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STOCKBRIDGE ROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-8580",
            "fax_number": "413-528-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSDORF",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "226367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111314",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110041695A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.