Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael C. Ennis, MD

Individual provider Family Medicine Physician · NPI 1861482663

Dr. Michael C. Ennis, MD is a Family Practice in Worcester, Massachusetts. Graduated from University of Rochester School of Medicine and Dentistry in 1983, 43 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
43
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
MA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

279 Lincoln St Hahnemann Family Health Ctr
Worcester, MA 01605-2120
Phone: (508) 334-8830
Fax: (508) 334-8835
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 53353 (MA)

Record details

NPI number1861482663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1983 (43 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Worcester