DOV A FOGEL (M.D.) – Psychiatry Physician, NPI 1508934647

DOV A FOGEL (M.D.) is a healthcare provider. based in Cambridge, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 156539 (MA). The NPI Number for DOV A FOGEL (M.D.) is 1508934647

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DOV A FOGEL (M.D.)
NPI
1508934647
Phone
(617) 547-6776
Address
1675 MASSACHUSETTS AVE STE 1B
Enumeration Date
30 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812354950
Graduation Year
1996 (30 years ago)
PAC ID
0042722613
Group Practice PAC ID
7517909526
Professional Enrollment ID
I20250620001671
Address ID
MA024813130WE11XXXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for DOV A FOGEL (M.D.)

  • 1675 MASSACHUSETTS AVE STE 1B

    CAMBRIDGE, MA 021381872

    Phone: (617) 547-6776

    Mailing address matches the actual address.

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: 2025-06-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250620001671IPsychiatryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517909526View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical Social WorkerMA
Clinical PsychologistMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Does DOV A FOGEL (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DOV A FOGEL (M.D.) uses 1508934647.
Can I rely on DOV A FOGEL (M.D.) being an active provider?
As of the registry snapshot, DOV A FOGEL (M.D.) is marked active.
What taxonomy line describes DOV A FOGEL (M.D.)?
For research purposes, treat DOV A FOGEL (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DOV A FOGEL (M.D.) list a practice location?
Patients near Cambridge, Massachusetts may find DOV A FOGEL (M.D.) in results; validate coverage separately.
Why does DOV A FOGEL (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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