Individual provider Active NPI

Michelle Maciag, M.D.

  • Allergy & Immunology Physician
  • Salem, MA
National Provider Identifier
1255778395
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
270275 Issued in MA
Practice address
114R Highland Ave
Salem, MA 01970-2723
Phone
(978) 745-3711
NPI assigned
May 30, 2013
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 270275 MA Primary

Addresses

Primary practice location

114R Highland Ave
Salem, MA 01970-2723

Mailing address

114R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-3711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maciag.Michelle.NSAA@direct.partners.masshiway.net Health Information Exchange (HIE)

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
I20200818003648 MA Practitioner - Allergy/Immunology 7911124946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Affiliates IncGroup PAC ID 6507936531, 6 clinicians
Allergy Affiliates of DanversGroup PAC ID 6103079884, 6 clinicians

Practice addresses (Care Compare)

114 R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-4767

140 Commonwealth Ave
Suite 103
Danvers, MA 01923-3624
Phone (978) 777-0970

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Affiliates of Danvers CurrentSince Sep 1, 2020 Accepting new patients
Asthma and Allergy Affiliates Inc Current Accepting new patients
Asthma & Allergy Affiliates Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

140 Commonwealth Ave
Danvers, MA 01923
Phone (978) 750-0200

140 Commonwealth Ave
Ste 103
Danvers, MA 01923
Phone (978) 777-0970

401 Andover St
Ste 102
North Andover, MA 01845
Phone (781) 315-5430

114 Highland Ave
Rear
Salem, MA 01970
Phone (978) 745-3711

114R Highland Ave
Salem, MA 01970
Phone (978) 745-3711

Interoperability endpoints

  • Direct secure messaging: maciag.michelle.nsaa@direct.partners.masshiway.net

Organizations & group practices 3

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 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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1255778395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114R HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-3711",
            "fax_number": "978-745-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114R HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAG",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "270275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maciag.Michelle.NSAA@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "114R Highland Ave",
            "city": "Salem",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019702723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.