Individual provider Active NPI

Madeline Colon-Usowicz, M.D.

  • Family Medicine Physician
  • Fall River, MA
National Provider Identifier
1841340734
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
241212 Issued in MA
Practice address
1010 S Main St
Fall River, MA 02724
Phone
(508) 235-5400
Fax
(508) 235-5477
NPI assigned
Jan 11, 2007
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 241212 MA Primary

Addresses

Primary practice location

1010 S Main St
Fall River, MA 02724

Mailing address

36 Blueberry HL
Webster, MA 01570-3232
Phone (774) 454-4997

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091020000462 MA Practitioner - Family Practice 8224175492 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241212MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
DRX UC Worcester PC CurrentSince Jul 28, 2015 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jul 28, 2015 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1010 S Main St
Fall River, MA 02724
Phone (508) 235-5010

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

136 Dwight Rd
Longmeadow, MA 01106
Phone (413) 567-2008

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1841340734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BLUEBERRY HL",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703232",
            "telephone_number": "774-454-4997",
            "fax_number": "508-534-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02724",
            "telephone_number": "508-235-5400",
            "fax_number": "508-235-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-USOWICZ",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "241212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.