Individual provider Active NPI

Michael A Forzano, MD

  • Emergency Medicine Physician
  • Springfield, MA
National Provider Identifier
1841433786
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
249978 Issued in MA
Practice address
Baystate Medical Ctr
759 Chestnut St.
Springfield, MA 01199-0001
Phone
(413) 794-0884
NPI assigned
Apr 8, 2009
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 249978 MA Primary

Addresses

Primary practice location

Baystate Medical Ctr
759 Chestnut St.
Springfield, MA 01199-0001

Mailing address

246 W Upsal St
Apt B-205
Philadelphia, PA 19119-3264

Other practice location 1

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mforzano40416@direct.southcoast.org

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
I20120914000674 MA Practitioner - Emergency Medicine 3577711605 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249978MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Sturdy Memorial Hospital Inc Emergency Medicine CurrentSince Jun 10, 2024 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Lifespan Corporation Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Sturdy Health, Inc. Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

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

70 East St
Methuen, MA 01844
Phone (978) 682-1906

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: mforzano235898@brownhealth.medalliesdirect.net
  • Direct secure messaging: mforzano40416@direct.southcoast.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1841433786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W UPSAL ST",
            "address_2": "APT B-205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYSTATE MEDICAL CTR",
            "address_2": "759 CHESTNUT ST.",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195208",
            "country_code": "US",
            "telephone_number": "508-973-2432",
            "fax_number": "508-973-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORZANO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "249978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mforzano40416@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "208 Mill Rd",
            "city": "Fairhaven",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027195208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.