Active NPI
Wayne G Siegel, MD
- Pediatrics Physician
- Fall River, MA
National Provider Identifier
1720062599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 58988
- Practice address
- 1030 President Ave
Fall River, MA 02720-5923 - Phone
- (508) 679-6833
- Fax
- (508) 678-2200
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 58988 | MA | Primary |
Addresses
Primary practice location
1030 President Ave
Fall River, MA 02720-5923
Mailing address
1030 President Ave
Fall River, MA 02720-5923
Phone (508) 679-6833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3031501 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58988 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Hospitals Group, Inc | Past | Accepting new patients | |
| Highland Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- drsiegel@highlandpeds.opdirect.net
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.
-
- Pediatrics Physician
- Fall River, MA
- NPI 1619009792
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1306871223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720062599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205923",
"telephone_number": "508-679-6833",
"fax_number": "508-678-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205923",
"telephone_number": "508-679-6833",
"fax_number": "508-678-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "WAYNE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "58988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3031501",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.