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FALGUN P WYLIE M.D.
NPI 1265538227
Pediatrics - Pediatric Emergency Medicine in Worcester, MA

Active since September 16, 2006PECOS Enrolled
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS/PEDIATRIC EMERGENCY MEDICINE, WORCESTER, MA 01655(508) 334-2599(508) 856-2510 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Falgun P Wylie M.d. NPPES

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

FALGUN P WYLIE M.D. (NPI 1265538227) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (238987) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265538227
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameFALGUN P WYLIECredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF PEDIATRICS/PEDIATRIC EMERGENCY MEDICINEWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-2599
Fax(508) 856-2510
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1265538227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 238987
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Other Names 1

Former Name (1)Falgun Patel M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Falgun P Wylie M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Falgun Wylie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
Same address
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. SHERINE MARY HASSEY-HALLIGAN NP
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271

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 Falgun Wylie's NPI number?

The NPI number for Falgun Wylie is 1265538227. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Falgun Patel M.D..

Where is Falgun Wylie located?

Falgun Wylie practices at 55 Lake Ave N Department Of Pediatrics/Pediatric Emergency Medicine, Worcester, MA 01655. The listed phone number is (508) 334-2599.

What is Falgun Wylie's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Falgun Wylie enrolled in Medicare?

Yes. Falgun Wylie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Falgun Wylie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Falgun Wylie reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Falgun Wylie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Falgun Wylie accept?

Health plans from Taro Health list Falgun Wylie 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 Falgun Wylie was last updated on November 10, 2020. 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.