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

Shawn M Ferullo, MD

Individual provider Family Medicine Physician · NPI 1962476994

Shawn M Ferullo, MD is a Family Practice in Cambridge, Massachusetts. Graduated from Boston University School of Medicine in 2001, 25 years ago. Practices with Massachusetts Institute of Technology, a 56-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
25
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2006
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

25 Carleton St
Cambridge, MA 02142-1323
Phone: (617) 253-2974
Fax: (617) 253-5512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 219827 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 219827 (MA)

Record details

NPI number1962476994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address77 Massachusetts Ave, Massachusetts Institute Of Technology, E23-171, Cambridge, MA 02139-4301

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Massachusetts Institute Of Technology — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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