Active NPI
Michael Stuart Freedman, M.D.
- Pediatrics Physician
- Westfield, MA
National Provider Identifier
1750377669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 209713
- Practice address
- 477 Southwick Rd
Westfield, MA 01085-4734 - Phone
- (413) 562-5256
- Fax
- (413) 736-4875
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 209713 | MA | Primary |
Addresses
Primary practice location
477 Southwick Rd
Westfield, MA 01085-4734
Mailing address
477 Southwick Rd
Westfield, MA 01085-4734
Phone (413) 562-5256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158160 | 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 |
|---|---|---|---|
| 209713 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Hampden County | Pediatrics | Past | Accepting new patients |
| Pediatric Associates of Hampden County, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mfreedman14060@direct.chppoc.masshiway.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
- West Springfield, MA
- NPI 1689729857
-
- Pediatrics Physician
- Westfield, MA
- NPI 1649336850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1750377669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 SOUTHWICK RD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854734",
"telephone_number": "413-562-5256",
"fax_number": "413-736-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 SOUTHWICK RD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854734",
"telephone_number": "413-562-5256",
"fax_number": "413-736-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "MICHAEL",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "209713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158160",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.