Active NPI
David A Fahey, M.D., PH.D.
- Internal Medicine Physician
- Huntsville, AL
National Provider Identifier
1528041506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 74706
- Practice address
- 301 Governors Dr SW
Huntsville, AL 35801-5123 - Phone
- (256) 551-4611
- Fax
- (256) 551-4619
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 74706 | MA | Primary |
Addresses
Primary practice location
301 Governors Dr SW
Huntsville, AL 35801-5123
Mailing address
301 Governors Dr SW
Huntsville, AL 35801-5123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3084469 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Metrowest Emergency Physicians Inc | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Framingham, MA
- NPI 1497867915
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1528041506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015123",
"telephone_number": "256-551-4611",
"fax_number": "256-551-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "74706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084469",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.