Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346602364 Individual Practitioner Female Practitioner

Dr. Nisha Megan Fahey , DO

Pediatrics • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Nisha Fahey, DO is a registered healthcare professional specializing in Pediatrics in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744422853
Fax 7744437268
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
118 Specialists

Practicing in Worcester, MA (2760 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 279034

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110118202A (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Suzanne Jacobs , LICSW

Social Worker - Clinical

NPI 1043271513

Licensed Independent Clinical Social Worker

NPI 1083760623

Doctor of Medicine (M.D.), Master of Public Health

NPI 1124380563

Doctor of Medicine (M.D.)

NPI 1164093662

Doctor of Medicine (M.D.)

Noelle Kellicker , CNP

Nurse Practitioner - Pediatrics

NPI 1245769074

Certified Nurse Practitioner

NPI 1255074126

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 12, 2019

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Pediatrics (License #279034 in MA)

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

📍
Updated Business Mailing Address June 13, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

👤
Provider Name / Credentials Updated June 13, 2016

Recorded as NISHA FAHEY, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346602364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2016
Last Update: April 10, 2024
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.