Michael J Feltes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029513 Issued in CT

Practice address

3 Heron Rd
Mystic, CT 06355-3253

Phone

(860) 536-6442

Fax

(860) 536-6442

NPI assigned

Jul 15, 2006

Last updated

Jun 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Specialty

Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care

Education

Rush Medical College of Rush University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159
• Masonicare Home Health and Hospice Inc Hospice, Wallingford, CT, CCN 071516
• Home Care Plus, Inc Hospice, Guilford, CT, CCN 071544
• Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
• Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
• Westerly Hospital Hospital, Westerly, RI, CCN 410013
• Avalon Health Care Center at Stoneridge Nursing home, Mystic, CT, CCN 075437

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)

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

• Masonicare Home Health and Hospice, Inc.

  • Community Based Hospice Care Agency
  • Wallingford, CT
  • NPI 1225151822
  Care Compare affiliation Name & address match
• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879
  Care Compare affiliation
• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1700092459
  Care Compare affiliation
• Masonicare Home Health and Hospice, Inc.

  • Home Health Agency
  • Wallingford, CT
  • NPI 1710976220
  Care Compare affiliation
• Stoneridge Senior Care LLC

  dba Avalon Health Care Center at StoneRidge

  • Skilled Nursing Facility
  • Mystic, CT
  • NPI 1467436907

  Nursing home

  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  dba Home Care Plus, Community Home Health and Hospice

  • Community Based Hospice Care Agency
  • Guilford, CT
  • NPI 1447606116
  Care Compare affiliation
• LMW Healthcare Inc.

  dba Westerly Hospital

  • General Acute Care Hospital
  • Westerly, RI
  • NPI 1447595368
  Care Compare affiliation

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1689690216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST",
            "address_2": "SUITE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HERON RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553253",
            "telephone_number": "860-536-6442",
            "fax_number": "860-536-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTES",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "029513",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "029513",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "029513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Falck, M.D., PHD
• Mark Fallon, D.M.D,
• Familywise, LLC (FamilyWise Behavior Solutions)
• Marjorie Farmer, MSW, LICSW
• Jennifer Felicelli, PA-C
• Warren Lewis Fields, M.D.
• Kelsey Lee Finn, DO
• Dennis F Flanagan, DDS
• Janice C Flynn
• Focus Physical Therapy, LLC

• Family Medicine Physician in Mystic, CT
• Providers in Mystic, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.