NPIMap

Individual provider Active NPI

Chanel Elizabeth Fischetti, MD

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1275928830
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
283329 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6106
Phone
(617) 732-5500
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A154859 CA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 283329 MA Primary
Emergency Medicine Physician 207P00000X 063969 CT

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

75 Francis St
Boston, MA 02115-6106
Phone (617) 732-5500

Other practice location 1

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Other practice location 2

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 3

101 The City Dr S
Orange, CA 92868
Phone (714) 456-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, MA, TX4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180515002217 CA Practitioner - Emergency Medicine 3678837887 Reassigns benefits to 3 organizations
I20200831000327 ID Practitioner - Emergency Medicine 3678837887 Reassigns benefits to 1 organization
I20200925000329 MA Practitioner - Emergency Medicine 3678837887 Reassigns benefits to 3 organizations
I20220202000378 TX Practitioner - Emergency Medicine 3678837887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham and Womens Physicians Organization Inc 2,931 clinicians

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Kaiser Foundation Hospital - San Marcos Hospital, San Marcos, CA, CCN 050855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154859CAMDEmergency Medicine Physician
063969CTMDEmergency Medicine Physician
283329MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Health Emergency Medicine Idaho, PLLC Emergency Medicine CurrentSince Jul 6, 2020 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Jul 2, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Feb 2, 2022 Accepting new patients
Regents of the University of Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Martha'S Vineyard Hospital, Inc. Emergency Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 7, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 7, 2025 Accepting new patients
Martha'S Vineyard Hospital, Inc. Family Medicine CurrentSince Jul 2, 2023 Accepting new patients
Insted Medical PLLC Emergency Medicine CurrentSince Oct 6, 2025 Accepting new patients
Emergency Medicine Specialists of Orange County Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Insted LLC Emergency Medicine Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

30 Winter St
Fl 9
Boston, MA 02108
Phone (617) 595-6322

75 Francis St
Boston, MA 02115

30 Winter St
Boston, MA 02108
Phone (617) 482-5292

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25141/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fischetti.chanel.bwh@direct.partners.masshiway.net

Organizations & group practices 18

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.

View all 18

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1275928830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156106",
            "telephone_number": "617-732-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156106",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204700",
            "country_code": "US",
            "telephone_number": "860-442-0711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "92868",
            "country_code": "US",
            "telephone_number": "714-456-5239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHETTI",
        "first_name": "CHANEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A154859",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "283329",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "063969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.