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VITALY NAZAROV MD
NPI 1811165350
Pediatrics in Gt Barrington, MA

Active since February 19, 2008PECOS Enrolled
100 MAPLE AVE STE 1, GT BARRINGTON, MA 01230(413) 528-4047(413) 528-3407 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vitaly Nazarov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALY NAZAROV MD (NPI 1811165350) is an individual pediatrics provider in Gt Barrington, Massachusetts, licensed in Massachusetts (233988) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811165350
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameVITALY NAZAROVCredential: MD
Location Address100 MAPLE AVE STE 1Gt Barrington, MA 01230-1965
Mailing Address100 Maple Ave Ste 1Gt Barrington, MA 01230-1965 · (413) 528-4047 · Fax (413) 528-3407
Phone(413) 528-4047
Fax(413) 528-3407
Sole ProprietorNo
Enumeration DateFebruary 19, 2008
Last NPPES UpdateDecember 17, 2014
✔ NPI 1811165350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 233988
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MAPLE AVE STE 1, Gt Barrington, MA 01230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitaly Nazarov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vitaly Nazarov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Berkshire Faculty Services Inc
20 mi
Multi-Specialty
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 405 clinicians in this Medicare group
NPI 1548212939 (413) 447-2752

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACONY, PC
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047
DR. LESLYE ROBIN HEILIG MD
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047
DR. DEBORAH BUCCINO MD
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047
MITALI SAHA MD
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitaly Nazarov's NPI number?

The NPI number for Vitaly Nazarov is 1811165350. It was assigned to this individual provider in the NPPES registry on February 19, 2008.

Where is Vitaly Nazarov located?

Vitaly Nazarov practices at 100 Maple Ave Ste 1, Gt Barrington, MA 01230. The listed phone number is (413) 528-4047.

What is Vitaly Nazarov's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vitaly Nazarov enrolled in Medicare?

Yes. Vitaly Nazarov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vitaly Nazarov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vitaly Nazarov reassigns Medicare benefits to Berkshire Faculty Services Inc (Pittsfield, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vitaly Nazarov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vitaly Nazarov was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.