Fadi Baladi, MD
Individual provider Active NPI Internal Medicine Physician · Phillipston, MA
NPI 1801877873 · NPPES record last updated Mar 24, 2010
Key facts
- NPI
- 1801877873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 80541 (MA)
- Practice address
- 20 State Road
Phillipston, MA 01331 - Phone
- (978) 249-8134
- Fax
- (978) 249-8137
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80541 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Physicians of North Worcester County | Internal Medicine | Past |
Accepting new patients |
| Fadi Baladi MD PC | Internal Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 80541 | MA | Yes |
Addresses
Primary practice location
20 State Road
Phillipston, MA 01331
Mailing address
20 State Road
Phillipston, MA 01331
Phone (978) 249-8134
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3141403 | Medicaid | MA | |
| 23815 | Other | MA | FALLON COMMUNITY HEALTH |
| 8954334 | Other | MA | CIGNA |
| 9743570 | Medicaid | MA | |
| J16114 | Other | MA | BLUE CROSS BLUE SHIELD |
| TUFTS HEALTH PLAN | Other | MA | 080541 |
Other providers in Phillipston, MA
All providers in Phillipston, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.