Individual provider Active NPI

Dov A Fogel, M.D.

  • Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1508934647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
156539 Issued in MA
Practice address
1675 Massachusetts Ave Ste 1B
Cambridge, MA 02138-1872
Phone
(617) 547-6776
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 156539 MA Primary

Addresses

Primary practice location

1675 Massachusetts Ave Ste 1B
Cambridge, MA 02138-1872

Mailing address

1675 Massachusetts Ave Ste 1B
Cambridge, MA 02138-1872
Phone (617) 547-6776

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250620001671 MA Practitioner - Psychiatry 0042722613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Human Relations Service IncGroup PAC ID 7517909526, 8 clinicians

Practice addresses (Care Compare)

11 Chapel PL
Wellesley, MA 02481-3130
Phone (781) 235-4950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Human Relations Service CurrentSince Mar 16, 2025 Accepting new patients

Locations

11 Chapel Pl
Wellesley Hls, MA 02481
Phone (781) 235-4950

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508934647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 MASSACHUSETTS AVE STE 1B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381872",
            "telephone_number": "617-547-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MASSACHUSETTS AVE STE 1B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381872",
            "telephone_number": "617-547-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "DOV",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "156539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.