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MICHAEL H. FATTAL M.D NPI 1679756704


NPI Information

NPI: 1679756704
Provider Name: MICHAEL H. FATTAL, M.D,
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Organization: MASSACHUSETTS EYE AND EAR ASSOCIATES, INC

PECOS Registration: Yes

Address:
54 BAKER AVENUE EXT
SUITE 303
CONCORD, MA
ZIP 01742
Phone: (978) 369-8780
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Michael H. Fattal, M.D, is a facial plastic surgery otolaryngology in Concord, MA with 18 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Michael H. Fattal, M.D, NPI is 1679756704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2006

The provider's business location address is:

54 BAKER AVENUE EXT
SUITE 303
CONCORD, MA
ZIP 01742-137
Phone: (978) 369-8780
Fax: (978) 369-1043

The NPI 1679756704 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)

The enumeration date for this NPI number is 12/12/2007 and was last updated on 7/3/2012.


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
1207Y00000XOtolaryngology246526MASSACHUSETTSNo
2207YS0123XOtolaryngologyFacial Plastic Surgery246526MASSACHUSETTSYes

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
1002324801MEDICARE PINMASSACHUSETTS
2110089465AMEDICAIDMASSACHUSETTS

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: 11/14/2023

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.