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DR. MICHAEL C. FAHEY M.D.
NPI 1255536082
Pediatrics - Pediatric Cardiology in Worcester, MA

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655(774) 441-8080(774) 441-8054 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2025, Jan 18, 2023, Nov 10, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Michael C. Fahey M.d. NPPES

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

DR. MICHAEL C. FAHEY M.D. (NPI 1255536082) is an individual pediatric cardiology provider in Worcester, Massachusetts, licensed in Massachusetts (235218) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2002).

NPPES Registry Identity

NPI1255536082
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MICHAEL C. FAHEYCredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF PEDIATRICSWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(774) 441-8080
Fax(774) 441-8054
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2002
Enumeration DateJune 20, 2007
Last NPPES UpdateMay 6, 20255 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1255536082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in MA · 235218✔ Licensed in NY · 236443
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

55 LAKE AVE N, Worcester, MA 01655
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Other Identifiers 1

Medicaid110079829AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael C. Fahey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436225976
PECOS Enrollment IDI20080905000528
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH BETH SAXER PHARMD
Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Worcester County (508) 856-2763
MARTHA LAROSE SAMPSON CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
LINDA A PAPE M.D.
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Worcester County (508) 856-3050
DR. DALE E RAUCH M.D.
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-6580
DR. MAICHI T TRAN PHARM.D.
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-1618
JESSICA L DOUGLAS MS
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Worcester County (508) 334-3517
DR. JULIANNE PATRICIA HUBER MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
ELLEN M GRAVALLESE M.D.
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-5224

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 Fahey's NPI number?

The NPI number for Michael Fahey is 1255536082. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Michael Fahey located?

Michael Fahey practices at 55 Lake Ave N Department Of Pediatrics, Worcester, MA 01655. The listed phone number is (774) 441-8080.

What is Michael Fahey's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michael Fahey enrolled in Medicare?

Yes. Michael Fahey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Fahey accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Fahey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Fahey was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.