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

Jennifer Fantasia, MD

Individual provider Surgery Physician · NPI 1053799726

Jennifer Fantasia, MD is an Urology in Worcester, Massachusetts. Graduated from University of Massachusetts Medical School in 2015, 11 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
11
Trained at
University of Massachusetts Medical School
Licensed in
MA, RI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

33 Kendall St
Worcester, MA 01605-2726
Phone: (083) 348-7655
Fax: (508) 334-9477
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 283649 (MA)
Surgery Physician Taxonomy 208600000X · Licence LP03299 (RI)

Record details

NPI number1053799726
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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