Michael J Daley, MD
Individual provider Active NPI Pediatrics Physician · Westborough, MA
NPI 1861469751 · NPPES record last updated Mar 9, 2018
Key facts
- NPI
- 1861469751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 49493 (MA)
- Practice address
- 900 Union St
Westborough, MA 01581-5408 - Phone
- (508) 898-2338
- Fax
- (508) 366-9938
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206000286 | MA | Practitioner - Pediatric Medicine | 2365408929 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49493 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- michael.daley.npi1861469751.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49493 | MA | Yes |
Addresses
Primary practice location
900 Union St
Westborough, MA 01581-5408
Mailing address
630 Plantation St
Worcester, MA 01605
Phone (508) 898-2338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917638 | Other | FIRST HEALTH | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 0776210 | Other | CIGNA HEALTH PLAN | |
| 26737 | Other | HEALTHY START | |
| 5459371 | Other | AETNA US HEALTHCARE | |
| 110051949A | Medicaid | MA | |
| J02512 | Other | BLUE SHIELD INDEMNITY | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 3099245 | Other | MEDICAID WELFARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 042472266 | Other | THREE RIVERS | |
| 9900120 | Other | FALLON COMMUNITY HEALTH | |
| J02512 | Other | BLUE SHIELD HMO BLUE | |
| 26737 | Other | CHILDRENS MEDICAL SECURIT | |
| 784124 | Other | MVP HEALTH CARE | |
| A02512 | Other | MEDICARE B | |
| AA1257 | Other | HARVARD PILGRIM HEALTHCAR | |
| J02512 | Other | BLUE CARE ELECT |
Other providers in Westborough, MA
- Karen Jean Gibson Curtis
- CVS Pharmacy Inc
- CVS Pharmacy Inc.
- Ahmad Daher
- Jeralyn Dalbeck
- Wendy Daly
- Dana R McMaster DMD LLC
- Fatima Darwish Elnashef
- David N Moheban DMD LLC
- Christine Anne Davidson
All providers in Westborough, MA · Pediatrics 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 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.