NPIMap

Individual provider Active NPI

Gloriane Afonso-Fede, M.D.

  • Internal Medicine Physician
  • Dartmouth, MA
National Provider Identifier
1376525063
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205012 Issued in MA
Practice address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205012 MA Primary

Addresses

Primary practice location

531 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other practice location 1

535 Faunce Corner Rd
N Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other identifiers 9

IdentifierTypeStateIssuer
000000021180OtherBMCH
TAX ID#Other04-3436165
0133515MedicaidMA
0240214OtherCIGNA
2550884OtherAETNA INSURANCE
BCBS OF MASSOtherMAJ23482
0034668OtherNEIGHBORHOOD
205012OtherMATUFTS HEALTH PLAN
205012OtherMATUFTS MEDICARE PREFERRED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000111 MA Practitioner - Internal Medicine 5597714329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Hospital & facility affiliations

  • Community Nurse Home Care Home health agency, Fairhaven, MA, CCN 227027
  • Southcoast Visiting Nurse Association Inc Home health agency, Fairhaven, MA, CCN 227101
  • Nightingale Visiting Nurses Home health agency, Taunton, MA, CCN 227215
  • Bayada Home Health Care, Inc Home health agency, Falmouth, MA, CCN 227539
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Nov 28, 2024 Accepting new patients
Steward Medical Group, Inc Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Lifespan Corporation Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2013 Accepting new patients
Hawthorn Medical Associates, LLC Internal Medicine Past Accepting new patients
New Bedford Medical Associates PC Past Accepting new patients

Locations

2991 Cranberry Hwy
#2F
East Wareham, MA 02538

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

275 Allen St
New Bedford, MA 02740
Phone (508) 992-9167

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

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

Interoperability endpoints

  • Direct secure messaging: gafonsofede235725@brownhealth.medalliesdirect.net
  • Direct secure messaging: gloriane.afonso-fede.1@2017.direct.athenahealth.com

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1376525063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "N Dartmouth",
            "state": "MA",
            "postal_code": "027471242",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFONSO-FEDE",
        "first_name": "GLORIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "205012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMCH",
            "identifier": "000000021180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "04-3436165",
            "identifier": "TAX ID#",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133515",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0240214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "2550884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J23482",
            "identifier": "BCBS OF MASS",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "0034668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "205012",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS MEDICARE PREFERRED",
            "identifier": "205012",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.