Nicole Fouad, MD
Individual provider Active NPI Diagnostic Radiology Physician · Worcester, MA
NPI 1902393952 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1902393952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 1014600 (MA)
- Practice address
- 55 Lake Ave North
Worcester, MA 01655-0002 - Phone
- (508) 334-3850
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Tufts University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Health - Harrington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20240703003914 | MA | Practitioner - Diagnostic Radiology | 1557613098 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Radiology Phys Serv | Diagnostic Radiology | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial MRI & Imaging Center, LLC | Current |
Accepting new patients | |
| Umass Memorial MRI & Imaging Center, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial MRI & Imaging Center, LLC | Current |
Accepting new patients | |
| Umass Memorial MRI & Imaging Center, LLC | Past |
Accepting new patients |
Locations
14 Prospect St
Milford, MA 01757
Phone (508) 422-2343
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- nfouad36700@direct.bostonchildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Diagnostic Radiology Physician | 2085R0202X | 1014600 | MA | Yes |
Addresses
Primary practice location
55 Lake Ave North
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other providers in Worcester, MA
- Melissa Foster
- Michael Foster
- Paul Foster
- Olga Fotos
- Jan Fouad
- Diane Fougere
- Cathy A Foulkrod-Pickett
- William S Foulsham
- Foundations Counseling and Wellness, LLC
- Bryce Fournier
All providers in Worcester, MA · Diagnostic Radiology 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 Jun 3, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.