Robert Franklin Holub, MD – Family Medicine Physician

Key facts

NPI: 1982993234
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 258268 (MA)
Practice address: 11 Quarry Hill Road
CHP - Lee Family Practice
Lee, MA 01238
Phone: (413) 243-0536
Fax: (413) 243-8040
NPI assigned: Apr 6, 2011
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Berkshire Faculty Services Inc Multi-Specialty Clinic/Center · Pittsfield, MA · NPI 1548212939

Medicare reassignment NPD MA
Fairview Hospital Critical Access Hospital · Great Barrington, MA · NPI 1942474176

Medicare reassignment NPD MA
Fairview Hospital Rural Health Clinic/Center · North Adams, MA · NPI 1639737042

NPD
Fairview Hospital Rural Health Clinic/Center · Great Barrington, MA · NPI 1881252286

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140805003196	MA	Practitioner - Family Practice	2860626603	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
274261	NY	MD	Family Medicine Physician

Practice roles

Organization	Status	New patients
Fairview Hospital	Current since Mar 1, 2021	Accepting new patients
Fairview Hospital	Current since Mar 1, 2021	Accepting new patients
Fairview Hospital	Current since Mar 1, 2021	Accepting new patients
Berkshire Faculty Services Inc	Current since Mar 1, 2021	Accepting new patients

Locations

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

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

Interoperability endpoints

Direct secure messaging: robertholub@comsub.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	0101253834	VA
Family Medicine Physician	207Q00000X	274261	NY
Family Medicine Physician	207Q00000X	258268	MA	Yes

Addresses

Primary practice location

11 Quarry Hill Road
CHP - Lee Family Practice
Lee, MA 01238

Mailing address

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

Other identifiers

Identifier	Type	State	Issuer
110101805A	Medicaid	MA

Other providers in Lee, MA

Kimberly Ann Galarneau, OTR/L
Gateway Physical Therapy and Wellness Corp
Green Healthcare LLC
Ramon Guerrero
Kathleen Ann Hanley, FNP
Mary Janell Hostetler, FNP-BC
Charles D. Houff, LMHC
Verna M Houff, LMHC
Denise A Howard
Kristine Huffman, LICSW

All providers in Lee, MA · Family Medicine Physician in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.