Individual provider Active NPI

Michelle W.S. Ma, M.D.

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1376797860
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
263129-1 Issued in NY
Practice address
750 Washington St
Tufts Medical Center - Department of Internal Medicine
Boston, MA 02111-1526
Phone
(617) 636-5246
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236962 MA
Dermatology Physician 207N00000X 263129-1 NY Primary

Addresses

Primary practice location

750 Washington St
Tufts Medical Center - Department of Internal Medicine
Boston, MA 02111-1526

Mailing address

225 W Montauk Hwy Suite 3
Suite 3
Hampton Bays, NY 11946-3531
Phone (631) 728-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20121106000511 NY Practitioner - Dermatology 1951552686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

353 Veterans Memorial Hwy
Suite 101
Commack, NY 11725-4200
Phone (631) 543-4888

Merit-based Incentive Payment System (MIPS)

Final score
71.42 of 100Reported as individual
Quality
51.85
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2166
Removal of skin cancer1-10
Skin biopsy977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263129-1NYMDDermatology Physician
236962MAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: michelle.ma.1@7628.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1376797860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W MONTAUK HWY SUITE 3",
            "address_2": "SUITE 3",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463531",
            "telephone_number": "631-728-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "TUFTS MEDICAL CENTER - DEPARTMENT OF INTERNAL MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "MICHELLE",
        "middle_name": "W.S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "236962",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "263129-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.