Massimo Domenico Federico, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P4441 Issued in TX

Practice address

36065 Santa Fe Ave
Carl R Darnall Army Medical Center
Fort Hood, TX 76544-7654

Phone

(254) 288-8000

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

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 TX, MD, VA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/
• Direct secure messaging: mfederico1176007@meritus.direct-ci.net

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.

• Brushy Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1235773151
  Medicare reassignment NPD
• Lake Travis Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1851803688
  Medicare reassignment NPD
• Oleander Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1346515103
  Medicare reassignment NPD
• Meritus Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hagerstown, MD
  • NPI 1134383623
  Medicare reassignment NPD
• Relymd Virtual Health Ca, PC

  • Emergency Medicine Physician
  • Petaluma, CA
  • NPI 1194515106

  VA

  Medicare reassignment NPD
• Relymd Virtual Health Regional, PC

  • Emergency Medicine Physician
  • Morrisville, NC
  • NPI 1134912124

  VA

  Medicare reassignment NPD
• Relymd Virtual Health TX, PA

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1770374126

  VA

  Medicare reassignment NPD
• Relymd Virtual Health Ga, LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1386414720

  VA

  Medicare reassignment
• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507
  NPD
• Hospital Authority of Mitchell County

  • Critical Access Hospital
  • Camilla, GA
  • NPI 1700830247
  NPD
• Meritus Urgent Care LLC

  • Urgent Care Clinic/Center
  • Hagerstown, MD
  • NPI 1972379568
  NPD

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1821259797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-288-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "address_2": "CARL R DARNALL ARMY MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765447654",
            "telephone_number": "254-288-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "MASSIMO",
        "middle_name": "DOMENICO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "64030",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Fackender, DMD
• Dianne Jasmin Fajardo, CNM
• Nicquiya Cheriss Falu, DMD
• Tyler Charles Farmer, DO
• Michele Diana Farris
• Charlene Marie Fee, LPN
• Caitlin Barrow Fehlinger
• Katelyn Elizabeth Feliciano, LPN
• Trina Fellers, PHARMD
• Anna Maria Ferguson, MPAS

• Emergency Medicine Physician in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.