Michelle L Dyke, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

269619 Issued in MA

Practice address

137 Main St
Medford, MA 02155-4522

Phone

(781) 395-4761

Fax

(781) 395-5081

NPI assigned

Jun 5, 2013

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.dyke.1@3792.direct.athenahealth.com

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.

• Community Health Programs, Inc.

  dba CHP community Health Center

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1013953009
  Medicare reassignment NPD
• Mass General Brigham Community Physicians Inc

  • Cardiovascular Disease Physician
  • Medford, MA
  • NPI 1548638265
  Medicare reassignment NPD
• Medical Affiliates of Cape Cod, Inc.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1770534927
  Medicare reassignment NPD
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629

  Internal Medicine

  Medicare reassignment NPD
• Community Health Programs

  dba CHP Barrington Obgyn

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1447488358
  NPD
• Community Health Programs, Inc.

  dba CHP Berkshire Pediatrics

  • Pediatrics Physician
  • Pittsfield, MA
  • NPI 1942720214
  NPD
• Medical Affiliates of Cape Cod, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mashpee, MA
  • NPI 1306391206
  NPD
• Southcoast Physicians Group, Inc.

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1902201536
  NPD

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1790123347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554522",
            "telephone_number": "781-395-4761",
            "fax_number": "781-395-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554522",
            "telephone_number": "781-395-4761",
            "fax_number": "781-395-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205281",
            "country_code": "US",
            "telephone_number": "508-973-7766",
            "fax_number": "508-973-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYKE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "269619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "269619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Melissa Dunham, LCSW
• Lam Q Duong, RPH
• Dva Healthcare of Massachusetts Inc (Mystic River Home Training)
• Dva Healthcare of Massachusetts Inc (Wellington Circle Dialysis Center)
• Jodi C Dwyer, MSW, LICSW
• E E Barch PSYD LLC
• Steven E Eisen, DMD
• Element Family Dental (Element Dental)
• Brian T Elie, PHARMD, RPH
• Eliot Community Service Agency

• Internal Medicine Physician in Medford, MA
• Providers in Medford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.