Holly K. Michaelson, MD
Individual provider Active NPI Surgery Physician · Northampton, MA
NPI 1477513679 · NPPES record last updated Oct 24, 2011
Key facts
- NPI
- 1477513679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 221242 (MA)
- Practice address
- 76 Carlon Dr
#A
Northampton, MA 01060-2373 - Phone
- (413) 584-4637
- Fax
- (413) 584-4787
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Temple University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Western Massachusetts Inc
Practice addresses (Care Compare)
22 Atwood Dr
Suite 203
Northampton, MA 01060-4267
Phone (413) 584-4637
Hospital & facility affiliations
- Vna & Hospice of Cooley Dickinson
- Cooley Dickinson Hospital Inc,the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Hernia repair - groin (open) | 43 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 22 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Cooley Dickinson Hospital Inc |
Hospital | Corporate Director | Sep 17, 2024 |
| Cooley Dickinson Hospital Inc |
Hospital | Corporate Director | Sep 17, 2024 |
| Vna & Hospice of Cooley Dickinson Inc |
Home health agency | Corporate Director | Sep 17, 2024 |
| Vna & Hospice of Cooley Dickinson Inc |
Hospice | Corporate Director | Sep 17, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040809000609 | MA | Practitioner - General Surgery | 2365414521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221242 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Surgery | Current |
Accepting new patients |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Past | Accepting new patients |
Locations
22 Atwood Dr
Ste 203
Northampton, MA 01060
Phone (413) 582-9186
76 Carlon Dr
Ste A
Northampton, MA 01060
Phone (413) 584-4637
15 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 584-4637
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
Interoperability endpoints
- michaelson.holly.cdh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 221242 | MA | Yes |
Addresses
Primary practice location
76 Carlon Dr
#A
Northampton, MA 01060-2373
Mailing address
76 Carlon Dr
#A
Northampton, MA 01060-2373
Phone (413) 584-4637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3194547 | Other | MA | NORTH AMERICAN PREFERRED |
| 04-3194547 | Other | MA | UNITED HEALTHCARE |
| 04-3194547 | Other | MA | GREAT-WEST |
| 04-3194547 | Other | MA | PLAN VISTA |
| 35140 | Other | MA | HNE |
| AA18165 | Other | MA | HARVARD PILGRIM |
| 04-3194547 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-3194547 | Other | MA | PHCS |
| 000000028880 | Other | MA | BMC |
| 04-3194547 | Other | MA | UNICARE/GIC |
| 221242 | Other | MA | CONNECTICARE |
| 3632800 | Other | MA | AETNA |
| J27862 | Other | MA | BCBSMA |
| 04-3194547 | Other | MA | CONSOLIDATED |
| 04-3194547 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 6850767 | Other | MA | CIGNA |
| 2075725 | Medicaid | MA | |
| 469819 | Other | MA | TUFTS |
Other providers in Northampton, MA
- Anne Evelyn Messier
- Rosy Lea Metcalfe
- Amy Metzger
- Stella Metzger
- Barbara Ann Meyer
- Ann F Mick
- Charles Andrew Mick
- Marilyn A Micka-Pickunka
- Krystyna Midura
- Dennis A Miehls
All providers in Northampton, MA · Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.