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

Dr. Michael C. Fahey, MD

Individual provider Pediatric Cardiology Physician · NPI 1255536082

Dr. Michael C. Fahey, MD is a Cardiovascular Disease (Cardiology) in Worcester, Massachusetts. Graduated from Columbia University College of Physicians and Surgeons in 2002, 24 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
24
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
MA, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N Dept OF Pediatrics
Worcester, MA 01655-0002
Phone: (774) 441-8080
Fax: (774) 441-8054
Show map & directions

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

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 235218 (MA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 236443 (NY)

Record details

NPI number1255536082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesPEDIATRIC MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2002 (24 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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