Active NPI
Michele K Mudgett, MD
- Internal Medicine Physician
- Norwell, MA
National Provider Identifier
1821070897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51499
- Practice address
- 143 Longwater Dr
Norwell, MA 02061-1683 - Phone
- (781) 878-5200
- Fax
- (781) 871-2940
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51499 | MA | Primary |
Addresses
Primary practice location
143 Longwater Dr
Norwell, MA 02061-1683
Mailing address
143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016424 | Other | MA | NHP |
| 042297845 | Other | MA | TRICARE |
| 042297845 | Other | MA | UNITED HEALTH CARE |
| 042297845 | Other | MA | HCVM |
| 766913 | Other | MA | TUFTS |
| 2090643 | Medicaid | MA | |
| 4218611 | Other | MA | AETNA |
| 042297845 | Other | MA | PRIVATE HEALTHCARE SYSTEM |
| 766913 | Other | MA | TUFTS MEDICARE PREFERRED |
| 62253 | Other | MA | HARVARD PILGRIM |
| 042297845 | Other | MA | GIC UNICARE |
| 042297845 | Other | MA | GREAT WEST HEALTH CARE |
| B10353601 | Other | MA | CIGNA |
| J02498 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 72.58 of 100
- Quality
- 58.14
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 72.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1821070897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 LONGWATER DR",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611683",
"telephone_number": "781-878-5200",
"fax_number": "781-871-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 LONGWATER DR",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611683",
"telephone_number": "781-878-5200",
"fax_number": "781-871-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDGETT",
"first_name": "MICHELE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "51499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0016424",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "766913",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2090643",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4218611",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS MEDICARE PREFERRED",
"identifier": "766913",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "62253",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC UNICARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH CARE",
"identifier": "042297845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B10353601",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J02498",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.