Individual provider Active NPI

Meredith Faggen, M.D.

  • Hematology & Oncology Physician
  • S Weymouth, MA
National Provider Identifier
1215093968
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD12408 Issued in RI
Practice address
541 Main St
Suite 414
S Weymouth, MA 02190-1868
Phone
(781) 952-1650
Fax
(781) 331-4936
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD12408 RI Primary

Addresses

Primary practice location

541 Main St
Suite 414
S Weymouth, MA 02190-1868

Mailing address

541 Main St
Suite 414
S Weymouth, MA 02190-1868
Phone (781) 952-1650

Other identifiers 3

IdentifierTypeStateIssuer
35212OtherCTCT CSR
001427641MedicaidCT
042764OtherCTCT PHYSICIAN LICENSE

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
I20090804000574 MA Practitioner - Hematology/Oncology 3870518889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

101 Columbian St
South Weymouth, MA 02190-1601
Phone (781) 340-8000

450 Brookline Ave
Boston, MA 02215-5418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
65.04
Promoting interoperability
100
Improvement activities
40
Cost
69.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12408RIMDHematology & Oncology Physician
238997MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 23, 2009 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 23, 2009 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 23, 2009 Accepting new patients
Dana-Farber Cancer Care Network, Inc. Current Accepting new patients

Locations

44 Binney St
Boston, MA 02115
Phone (617) 632-3591

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

20 Prospect St
Milford, MA 01757
Phone (508) 478-2061

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 414
Weymouth, MA 02190
Phone (781) 952-1433

Interoperability endpoints

  • Direct secure messaging: faggen.meredith.dfci@direct.partners.masshiway.net

Organizations & group practices 4

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 4

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215093968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 414",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-952-1650",
            "fax_number": "781-331-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 414",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-952-1650",
            "fax_number": "781-331-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGEN",
        "first_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD12408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CSR",
            "identifier": "35212",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001427641",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT PHYSICIAN LICENSE",
            "identifier": "042764",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

Verify at the official NPI Registry.