DOUGLAS FELLOWS (MD) – Diagnostic Radiology Physician, NPI 1063467827
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DOUGLAS FELLOWS (MD)
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-3850
Type: Location
65, Kane Street, West Hartford, Hartford County, Connecticut, 06119, United States
PROVIDER ENROLLMENT OFFICE
WEST HARTFORD, CT 061192110
Phone: (860) 523-6421
Fax: (860) 523-3701
Type: Mailing
University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States
DEPARTMENT OF RADIOLOGY
FARMINGTON, CT 060302803
Phone: (860) 679-2784
Fax: (860) 679-4126
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040831000053 | I | Diagnostic Radiology | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 399 | 384 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 371 | 370 | $0 |
| 72125 | Ct scan of upper spine without contrast | 131 | 130 | $0 |
| 70551 | Mri scan of brain without contrast | 128 | 123 | $0 |
| 70553 | Mri scan of brain before and after contrast | 116 | 111 | $0 |
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MA | |
| Hospitalist, Cardiovascular Disease (Cardiology), Hospitalist, Internal Medicine | NY | |
| Diagnostic Radiology | NH | |
| - | NH | |
| Diagnostic Radiology | OK | |
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Radiation Oncology, Hematology/Oncology | OH | |
| Nephrology, Internal Medicine | MA |
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