Individual provider Active NPI

Michele A Crage, M.D.

  • Nephrology Physician
  • Woburn, MA
National Provider Identifier
1710960190
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
051177 Issued in MA
Practice address
23 Warren Ave
Suite 150
Woburn, MA 01801-4979
Phone
(781) 933-0710
Fax
(781) 937-3947
NPI assigned
Nov 21, 2005
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 051177 MA Primary

Addresses

Primary practice location

23 Warren Ave
Suite 150
Woburn, MA 01801-4979

Mailing address

23 Warren Ave
Suite 150
Woburn, MA 01801-4979
Phone (781) 933-0710

Other identifiers 1

IdentifierTypeStateIssuer
3005810MedicaidMA

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
I20050331001123 MA Practitioner - Nephrology 1456308584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Rochester School of Medicine and Dentistry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woburn Nephrology Associates PCGroup PAC ID 8820032485, 6 clinicians

Practice addresses (Care Compare)

5 Juniper LN
Dover, MA 02030-2146
Phone (508) 785-2284

92 Montvale Ave
Suite 2000
Stoneham, MA 02180-3654
Phone (781) 933-0710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051177MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woburn Nephrology Associates PC Nephrology CurrentSince Jan 17, 1986 Accepting new patients
Woburn Medical Associates PC Past Accepting new patients
Personal Best Chiropractic LLC PastSince Apr 1, 2022 Accepting new patients

Locations

92 Montvale Ave
Ste 2000
Stoneham, MA 02180
Phone (781) 435-2284

23 Warren Ave
Ste 150
Woburn, MA 01801
Phone (781) 933-0710

Interoperability endpoints

  • Direct secure messaging: mcrage28585@tuftsmedicine.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1710960190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "SUITE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014979",
            "telephone_number": "781-933-0710",
            "fax_number": "781-937-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "SUITE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014979",
            "telephone_number": "781-933-0710",
            "fax_number": "781-937-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGE",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "051177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005810",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.