NPIMap

Individual provider Active NPI

Caitlin Carr Lopez, M.D.

  • Diagnostic Radiology Physician
  • Pittsfield, MA
National Provider Identifier
1962683029
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
268895 Issued in MA
Practice address
725 North St
Radiology Department
Pittsfield, MA 01201-4109
Phone
(413) 395-7585
Fax
(413) 496-6869
NPI assigned
Nov 16, 2007
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 268895 MA Primary

Addresses

Primary practice location

725 North St
Radiology Department
Pittsfield, MA 01201-4109

Mailing address

725 North St
Radiology Department
Pittsfield, MA 01201-4109
Phone (413) 395-7585

Other identifiers 1

IdentifierTypeStateIssuer
51030OtherMACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161031001558 MA Practitioner - Diagnostic Radiology 5799960795 Reassigns benefits to 1 organization
I20260219002843 CT Practitioner - Diagnostic Radiology 5799960795 Reassigns benefits to 1 organization
I20260515001696 VA Practitioner - Diagnostic Radiology 5799960795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Berkshire Medical Imaging PCGroup PAC ID 9830169283, 10 clinicians

Practice addresses (Care Compare)

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268895MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shields Pet CT at Berkshire Medical Center LLC CurrentSince Apr 1, 2021 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Physicians for Women's Health LLC CurrentSince Mar 15, 2026 Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology PastSince Apr 1, 2024 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

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

10 Little Brook Rd
West Wareham, MA 02576

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, 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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1962683029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-395-7585",
            "fax_number": "413-496-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-395-7585",
            "fax_number": "413-496-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CAITLIN",
        "middle_name": "CARR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "268895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "51030",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.