Individual provider Active NPI

Michael A Marciello, MD

  • Physical Medicine & Rehabilitation Physician
  • Milford, MA
National Provider Identifier
1902803430
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
152314 Issued in MA
Practice address
14 Asylum St
Milford, MA 01757-2203
Phone
(508) 473-5500
Fax
(508) 478-6247
NPI assigned
Jun 30, 2005
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 152314 MA Primary

Addresses

Primary practice location

14 Asylum St
Milford, MA 01757-2203

Mailing address

14 Asylum St
Milford, MA 01757-2203
Phone (508) 473-5500

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
I20060503000430 MA Practitioner - Physical Medicine and Rehabilitation 7315957446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maragal Medical PCGroup PAC ID 4688937246, 7 clinicians

Practice addresses (Care Compare)

54 Williams St
Leominster, MA 01453-3276
Phone (978) 537-0555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maragal Medical PC CurrentSince Feb 17, 2018 Accepting new patients
Maragal Medical PC Current Accepting new patients
Orthopaedic Associates Inc Past Accepting new patients

Locations

54 Williams St
Leominster, MA 01453
Phone (978) 537-0555

Organizations & group practices 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1902803430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ASYLUM ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572203",
            "telephone_number": "508-473-5500",
            "fax_number": "508-478-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ASYLUM ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572203",
            "telephone_number": "508-473-5500",
            "fax_number": "508-478-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIELLO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "152314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.