Flavia Fedeles, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

258245 Issued in MA

Practice address

10 Laurel Ave Ste 300
Wellesley, MA 02481-7536

Phone

(781) 235-8155

Fax

(781) 235-2855

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Connecticut School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Care Assoc PCGroup PAC ID 5193807899, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fedeles.flavia.mgh@direct.partners.masshiway.net

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.

• Dermatology & Skin Care Assoc PC

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1003005331
  Medicare reassignment Care Compare group NPD
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573
  Medicare reassignment NPD
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Medicare reassignment NPD
• Metroplex Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Coppell, TX
  • NPI 1942223029

  MA

  Medicare reassignment NPD
• Cohen Dermatopathology, P.C.

  • Clinical Medical Laboratory
  • Needham, MA
  • NPI 1477522910
  NPD
• Cohen Dermatopathology, P.C.

  • Anatomic Pathology Physician
  • Needham, MA
  • NPI 1770755456
  NPD
• General Hospital Corp

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1508390014
  NPD

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

• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1376851972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVE STE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024817536",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAUREL AVE STE 300",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024817536",
            "telephone_number": "781-235-8155",
            "fax_number": "781-235-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "781-744-8348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDELES",
        "first_name": "FLAVIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "258245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Tree Afc
• Matthew R Fantasia, DMD
• Stephen G. Farina, PSY.D.
• Ikram A Farooqi, M.D. C.W.S.
• Nichole May Farrington, LICSW
• Laura Curtiss Feder, PSY.D.
• Michael S. Feinberg, O.D.
• Marilyn D Feldman, LCSW CCS CADAC LMFT
• Nolette Ferjuste
• Julie Finkle, NP

• Dermatology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.