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DR. MICHAEL ANDREW GILLETTE MD PHD NPI 1619945276


NPI Information

NPI: 1619945276
Provider Name: DR. MICHAEL ANDREW GILLETTE, MD PHD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
55 FRUIT ST
PULMONARY AND CRITICAL CARE GRB 645
BOSTON, MA
ZIP 02114
Phone: (617) 726-1721
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DR. Michael Andrew Gillette, MD PHD is a critical care medicine internal medicine in Boston, MA with 29 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Michael Andrew Gillette, MD PHD NPI is 1619945276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1995

The provider's business location address is:

55 FRUIT ST
PULMONARY AND CRITICAL CARE GRB 645
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-1721
Fax: (617) 724-9948

The NPI 1619945276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 11/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine154750MASSACHUSETTSNo
2207RP1001XInternal MedicinePulmonary Disease154750MASSACHUSETTSNo
3207RC0200XInternal MedicineCritical Care Medicine154750MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J25869OTHERMASSACHUSETTSBCBS MA
2H80213MEDICARE UPIN
32002710MEDICAIDMASSACHUSETTS
4401842OTHERMASSACHUSETTSTUFTS HEALTH PLAN
5A35100MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.