Michael Charles Pescatello, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

223185 Issued in MA

Practice address

1003 S Main St
Bellingham, MA 02019-1826

Phone

(508) 883-0600

Fax

(508) 883-5990

NPI assigned

Jul 15, 2006

Last updated

Jan 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Milford Regional Physician Group, Inc.

  dba Sports Medicine & Wellness in Medway

  • Sports Medicine (Family Medicine) Physician
  • Medway, MA
  • NPI 1508681321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1336165844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064814",
            "telephone_number": "617-877-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S MAIN ST",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191826",
            "telephone_number": "508-883-0600",
            "fax_number": "508-883-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCATELLO",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223185",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094967",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah David Palmieri Posthofen, PHARMD
• Huckleberry Pamunag
• Victoria Susanne Pasche, LICSW
• Leighanne Pendlebury
• Pollyanna Pereira, DOULA
• Shannon Petit-Frere
• Kelly Ann Pickering
• Irina Pieleanu, MD
• Postum Eye Care Inc
• Zainub Postum, OD

• Internal Medicine Physician in Bellingham, MA
• Providers in Bellingham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.