NPIMap

Individual provider Active NPI

Marjorie Yvonne Devries, M.D

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1962438135
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73569 Issued in MA
Practice address
20 Elm St
Pittsfield, MA 01201-6502
Phone
(413) 442-1019
Fax
(413) 447-8521
NPI assigned
Jun 22, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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 73569 MA Primary

Addresses

Primary practice location

20 Elm St
Pittsfield, MA 01201-6502

Mailing address

20 Elm St
Pittsfield, MA 01201-6502
Phone (413) 442-1019

Other identifiers 1

IdentifierTypeStateIssuer
3108546MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040714000582 MA Practitioner - Internal Medicine 0143209205 Reassigns benefits to 4 organizations
I20250620002120 MI Practitioner - Internal Medicine 0143209205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Elm St
Pittsfield, MA 01201-6502

725 N St
Pittsfield, MA 01201-4109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73569MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Jan 1, 2017 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Jul 12, 2024 Accepting new patients
Fairview Hospital CurrentSince Jan 1, 2017 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jan 1, 2017 Accepting new patients
Fairview Hospital CurrentSince Jan 1, 2017 Accepting new patients
Berkshire Family Practice Associates , PC Internal Medicine CurrentSince Jul 17, 2019 Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

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

20 Elm St
Pittsfield, MA 01201
Phone (413) 442-1019

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

Interoperability endpoints

  • Direct secure messaging: marjoriedevries@combfp.medalliesdirect.net

Organizations & group practices 7

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 7

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1962438135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019",
            "fax_number": "413-447-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019",
            "fax_number": "413-447-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "MARJORIE",
        "middle_name": "YVONNE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.