Individual provider Active NPI

Cecilia Pena-Sisto, MD

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1992942189
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233290 Issued in MA
Practice address
510 North St # 1
Pittsfield, MA 01201-5493
Phone
(413) 447-2351
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 233290 MA Primary

Addresses

Primary practice location

510 North St # 1
Pittsfield, MA 01201-5493

Mailing address

67 Sherwood Dr
Pittsfield, MA 01201-5911
Phone (413) 447-2351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111215000734 MA Practitioner - Internal Medicine 0244405462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
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)

510 N St
Pittsfield, MA 01201-5493
Phone (413) 447-2351

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • Hospicecare in the Berkshires Hospice, Pittsfield, MA, CCN 221531
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233290MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince Oct 1, 2011 Accepting new patients
Community Health Programs, Inc. CurrentSince Oct 1, 2011 Accepting new patients
Berkshire Medical Center, Inc Past Accepting new patients

Locations

510 North St
Ste 1
Pittsfield, MA 01201
Phone (413) 447-2351

Interoperability endpoints

  • Direct secure messaging: cecilia.pena.sisto.1@3792.direct.athenahealth.com

Organizations & group practices 3

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 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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1992942189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SHERWOOD DR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015911",
            "telephone_number": "413-447-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST # 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015493",
            "telephone_number": "413-447-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-SISTO",
        "first_name": "CECILIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.