NPIMap

Individual provider Active NPI

Holly K. Michaelson, MD

  • Surgery Physician
  • Northampton, MA
National Provider Identifier
1477513679
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
221242 Issued in MA
Practice address
76 Carlon Dr
#A
Northampton, MA 01060-2373
Phone
(413) 584-4637
Fax
(413) 584-4787
NPI assigned
Mar 23, 2006
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 221242 MA Primary

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

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
I20040809000609 MA Practitioner - General Surgery 2365414521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

22 Atwood Dr
Suite 203
Northampton, MA 01060-4267
Phone (413) 584-4637

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Hernia repair - groin (open)43
Hernia repair (minimally invasive)1-10
Mastectomy22
Melanoma (skin cancer) excision1-10
Removal of tissue19
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221242MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc Surgery CurrentSince Aug 1, 2004 Accepting new patients
Cooley Dickinson Hospital Inc Past Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

15 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 584-4637

22 Atwood Dr
Ste 203
Northampton, MA 01060
Phone (413) 582-9186

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

76 Carlon Dr
Ste A
Northampton, MA 01060
Phone (413) 584-4637

Interoperability endpoints

  • Direct secure messaging: michaelson.holly.cdh@direct.partners.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cooley Dickinson Hospital IncNorthampton, MA, CCN 220015 Hospital Corporate Director Sep 17, 2024
Cooley Dickinson Hospital IncNorthampton, MA, CCN 22S015 Hospital Corporate Director Sep 17, 2024
Vna & Hospice of Cooley Dickinson IncNorthampton, MA, CCN 227021 Home health agency Corporate Director Sep 17, 2024
Vna & Hospice of Cooley Dickinson IncNorthampton, MA, CCN 221506 Hospice Corporate Director Sep 17, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1477513679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CARLON DR",
            "address_2": "#A",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602373",
            "telephone_number": "413-584-4637",
            "fax_number": "413-584-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CARLON DR",
            "address_2": "#A",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602373",
            "telephone_number": "413-584-4637",
            "fax_number": "413-584-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "HOLLY",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "221242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.