Individual provider Active NPI

Michael J McCormick, M.D.

  • Allergy & Immunology Physician
  • Hopedale, MA
National Provider Identifier
1063496982
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
74282 Issued in MA
Practice address
94 Mendon St
Hopedale, MA 01747-1311
Phone
(508) 482-5401
Fax
(508) 482-5402
NPI assigned
Dec 5, 2005
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 74282 MA Primary
Internal Medicine Physician 207R00000X 74282 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 74282 MA
Pulmonary Disease Physician 207RP1001X 74282 MA

Addresses

Primary practice location

94 Mendon St
Hopedale, MA 01747-1311

Mailing address

9 Industrial Rd Ste 5
Milford, MA 01757-3736
Phone (508) 473-1480

Other identifiers 1

IdentifierTypeStateIssuer
3108805MedicaidMA

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
I20040714000659 MA Practitioner - Allergy/ImmunologyPractitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0143209213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Critical Care (Intensivists), Internal Medicine, Pulmonary Disease
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Medway Rd
Milford, MA 01757-2923

14 Prospect St
Milford, MA 01757-3003
Phone (508) 422-2305

94 Mendon St
Hopedale, MA 01747-1311
Phone (508) 482-5401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74282MAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Sep 1, 2008 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Current Accepting new patients
Milford Regional Physician Group, Inc. Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine Past Accepting new patients
Foundation Medical Partners Inc. Past Accepting new patients

Locations

94 Mendon St
Hopedale, MA 01747
Phone (508) 478-5550

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: mccormick.michael.tcma@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.

Hospital & facility affiliations 1

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1063496982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL RD STE 5",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573736",
            "telephone_number": "508-473-1480",
            "fax_number": "508-473-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MENDON ST",
            "city": "HOPEDALE",
            "state": "MA",
            "postal_code": "017471311",
            "telephone_number": "508-482-5401",
            "fax_number": "508-482-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "74282",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74282",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "74282",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "74282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108805",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopedale, MA

Sources for this page

Verify at the official NPI Registry.