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

Michala Peltak, PA-C

Individual provider Physician Assistant · NPI 1720735889

Michala Peltak, PA-C is a Physician Assistant in Worcester, Massachusetts. Graduated from Tufts University School of Medicine in 2022, 4 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 University Blvd, Round Rock, TX 78665-1032 — (508) 395-7969

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101379 (MA)

Record details

NPI number1720735889
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 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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