Individual provider Active NPI

Michelle Marie Master, MD

  • Family Medicine Physician
  • Newton, MA
National Provider Identifier
1609166339
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
260287 Issued in MA
Practice address
1400 Centre St Ste 206
Newton, MA 02459-2415
Phone
(617) 795-0402
Fax
(617) 663-6049
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 260287 MA Primary

Addresses

Primary practice location

1400 Centre St Ste 206
Newton, MA 02459-2415

Mailing address

1400 Centre St Ste 206
Newton, MA 02459-2415
Phone (617) 795-0402

Other names 1

  • Michelle Marie Bellomo Former name

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
I20140918001636 MA Practitioner - Family Practice 8123247418 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1400 Centre St
Suite 206
Newton, MA 02459-2415
Phone (617) 795-0402

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medical Associates-Ebnhc CurrentSince Sep 8, 2014 Accepting new patients
Renaissance Family Medicine of Wellesley LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Neighborhealth Corporation CurrentSince Sep 8, 2014 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Family Medicine CurrentSince Sep 6, 2021 Accepting new patients
Michelle Master MD Family Medicine PLLC. Family Medicine CurrentSince Dec 14, 2025 Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

1400 Centre St
Ste 206
Newton Center, MA 02459
Phone (617) 630-9800

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

332 Washington St
Ste 200
Wellesley Hls, MA 02481
Phone (781) 235-4088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8897/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1609166339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST STE 206",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592415",
            "telephone_number": "617-795-0402",
            "fax_number": "617-663-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST STE 206",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592415",
            "telephone_number": "617-795-0402",
            "fax_number": "617-663-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "260287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BELLOMO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.