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MICHAEL AVERY MD, PHD
NPI 1235717067
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 01, 2021PECOS Enrolled
110 FRANCIS STREET, SUITE 9B, LOWRY MEDICAL OFFICE BUILDING, BOSTON, MA 02215(617) 632-9236 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Avery Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL AVERY MD, PHD (NPI 1235717067) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235717067
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL AVERYCredential: MD, PHD
Location Address110 FRANCIS STREET, SUITE 9B, LOWRY MEDICAL OFFICE BUILDINGBoston, MA 02215
Mailing Address110 Francis Street, Suite 9b, Lowry Medical Office BuildingBoston, MA 02215 · (617) 632-9236
Phone(617) 632-9236
Sole ProprietorNo
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1235717067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 FRANCIS STREET, SUITE 9B, Boston, MA 02215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Avery Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Avery's NPI number?

The NPI number for Michael Avery is 1235717067. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Michael Avery located?

Michael Avery practices at 110 Francis Street, Suite 9B Lowry Medical Office Building, Boston, MA 02215. The listed phone number is (617) 632-9236.

What is Michael Avery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Avery enrolled in Medicare?

Yes. Michael Avery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Avery was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.