Individual provider Active NPI

Michael James Courchesne, M.D.

  • Surgery Physician
  • Fall River, MA
National Provider Identifier
1154773380
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1013194 Issued in MA
Practice address
289 Pleasant St
BLDG 4, Ste 601
Fall River, MA 02721
Phone
(508) 672-0483
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT210975 PA
Surgery Physician 208600000X MD17987 RI
Surgery Physician 208600000X 112785 GA
Surgery Physician 208600000X 1013194 MA Primary

Addresses

Primary practice location

289 Pleasant St
BLDG 4, Ste 601
Fall River, MA 02721

Mailing address

2200 Medical Center Blvd Ste 340
Lawrenceville, GA 30046-7768
Phone (770) 978-0561

Other practice location 1

2200 Medical Center Blvd Ste 340
Lawrenceville, GA 30046-7768
Phone (770) 978-0561

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
I20230316001667 MA Practitioner - General Surgery 8921494279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112785GAMDSurgery Physician
MT210975PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 2, 2023 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Surgery CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 2, 2023 Accepting new patients
Lifespan of Massachusetts - Fall River Inc Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

289 Pleasant St
Bldg 4
Fall River, MA 02721
Phone (508) 675-3972

851 Middle St
Fall River, MA 02721
Phone (508) 324-6800

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

289 Pleasant St
Fl 6
Fall River, MA 02721

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

Interoperability endpoints

  • Direct secure messaging: mcourchesne235835@brownhealth.medalliesdirect.net
  • Direct secure messaging: michael.courchesne.1@2017.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1154773380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 340",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467768",
            "telephone_number": "770-978-0561",
            "fax_number": "770-978-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "BLDG 4, STE 601",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02721",
            "telephone_number": "508-672-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Medical Center Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467768",
            "country_code": "US",
            "telephone_number": "770-978-0561",
            "fax_number": "770-978-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURCHESNE",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT210975",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD17987",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "112785",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "1013194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.