Active NPI
Michael Fellman
- Audiologist
- Shrewsbury, MA
National Provider Identifier
1063648962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 495
- Practice address
- 24 Julio Dr Ste 101
Shrewsbury, MA 01545-3053 - Phone
- (508) 845-5500
- Fax
- (508) 276-1852
- NPI assigned
- Jun 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 495 | MA | Primary |
Addresses
Primary practice location
24 Julio Dr Ste 101
Shrewsbury, MA 01545-3053
Mailing address
29 Magnolia Rd
Sharon, MA 02067-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5102189 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495 | MA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hears to You Inc. | Current | Accepting new patients | |
| Mass Audiology, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Norwood, MA
- NPI 1437825650
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1306077276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1063648962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MAGNOLIA RD",
"city": "SHARON",
"state": "MA",
"postal_code": "020672470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JULIO DR STE 101",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453053",
"telephone_number": "508-845-5500",
"fax_number": "508-276-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLMAN",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5102189",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.