Michael J Feltes, M.D.
Individual provider Active NPI Family Medicine Physician · Mystic, CT
NPI 1689690216 · NPPES record last updated Jun 10, 2013
Key facts
- NPI
- 1689690216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 029513 (CT)
- Practice address
- 3 Heron Rd
Mystic, CT 06355-3253 - Phone
- (860) 536-6442
- Fax
- (860) 536-6442
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Heron Rd
Mystic, CT 06355-3253
Hospital & facility affiliations
- Masonicare Home Health & Hospice, Inc
- Masonicare Home Health and Hospice Inc
- Home Care Plus, Inc
- Hartford Healthcare at Home
- Lawrence & Memorial Hospital
- Westerly Hospital
- Avalon Health Care Center at Stoneridge
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029513 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 029513 | CT | |
| Family Medicine Physician | 207Q00000X | 029513 | CT | Yes |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 029513 | CT |
Addresses
Primary practice location
3 Heron Rd
Mystic, CT 06355-3253
Mailing address
819 Worcester St
Suite 3
Springfield, MA 01151-1045
Phone (413) 543-6820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001295139 | Medicaid | CT |
Other providers in Mystic, CT
- Francis Falck
- Mark Fallon
- Familywise, LLC
- Marjorie Farmer
- Jennifer Felicelli
- Warren Lewis Fields
- Kelsey Lee Finn
- Dennis F Flanagan
- Janice C Flynn
- Focus Physical Therapy, LLC
All providers in Mystic, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.