Active NPI
Michael Gerald Drage, MD, PHD
- Anatomic Pathology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 284366
- Practice address
- 55 Fruit St BLDG 225
Boston, MA 02114-2696 - Phone
- (617) 643-0800
- Fax
- (617) 726-7474
- NPI assigned
- Jan 4, 2013
- Last updated
- Jan 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 249218 | MA | |
| Anatomic Pathology Physician | 207ZP0101X | 284366 | NY | Primary |
Addresses
Primary practice location
55 Fruit St BLDG 225
Boston, MA 02114-2696
Mailing address
601 Elmwood Ave
Urmc Box 626
Rochester, NY 14642-0001
Phone (585) 275-3184
Other practice location 1
601 Elmwood Ave
University of Rochester Medical Center, Box 626
Rochester, NY 14642-0001
Phone (585) 275-3184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249218 | MA | MD | Anatomic Pathology Physician |
| 284366 | NY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St James Hospital | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Bldg 225
Boston, MA 02114
Phone (617) 643-0800
75 Francis St
Boston, MA 02115
73 Buffalo St
Ste 100
Canandaigua, NY 14424
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#320
Rochester, NY 14642
601 Elmwood Ave
#626
Rochester, NY 14642
Phone (585) 273-4135
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Interoperability endpoints
- drage.michael.mgh@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
dba Jones Memorial Hospital
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
dba Jones Memorial Hospital
- Rural Health Clinic/Center
- Hornell, NY
- NPI 1457974644
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674864000000",
"number": "1013254457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "URMC BOX 626",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-3184",
"fax_number": "585-276-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST BLDG 225",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-643-0800",
"fax_number": "617-726-7474"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_2": "University of Rochester Medical Center, Box 626",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-3184",
"fax_number": "585-276-2047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAGE",
"first_name": "MICHAEL",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-04",
"last_updated": "2023-01-28",
"certification_date": "2023-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "249218",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "284366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.