MILL CITY MEDICAL GROUP LTD
NPI 1053346692
Internal Medicine in Lowell, MA
About Mill City Medical Group Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILL CITY MEDICAL GROUP LTD (NPI 1053346692) is a healthcare organization registered as an internal medicine in Lowell, Massachusetts and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists David C Pickul, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mill City Medical Group Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Mill City Medical Group Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Lowell, MA 01854
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D0713375
Mill City Medical · Lowell, MACertificate of Waiver 22D2124935
Mill City Medical · Lowell, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mill City Medical Group Ltd's NPI number?
The NPI number for Mill City Medical Group Ltd is 1053346692. It was assigned to this organization in the NPPES registry on July 12, 2006.
Where is Mill City Medical Group Ltd located?
Mill City Medical Group Ltd is located at 45 Palmer Street, Lowell, MA 01852. The listed phone number is (978) 970-1607.
What is Mill City Medical Group Ltd's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mill City Medical Group Ltd enrolled in Medicare?
Yes. Mill City Medical Group Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mill City Medical Group Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Mill City Medical Group Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (6), Nurse Practitioner (5) and Pediatric Medicine (1). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mill City Medical Group Ltd hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mill City Medical Group Ltd accept?
Health plans from Anthem Blue Cross and Blue Shield list Mill City Medical Group Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mill City Medical Group Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mill City Medical Group Ltd · NPI 1053346692
Internal Medicine organization in Lowell, Massachusetts. Organization record, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1053346692 (Entity type: Organization)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** David Pickul, PRESIDENT
## Practice location
- **Address:** 45 PALMER STREET, Lowell, MA 01852
- **Phone:** (978) 970-1607 · **Fax:** (978) 970-1115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (6), Nurse Practitioner (5), Pediatric Medicine (1); 3 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 9719628 (MA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053346692) · Data from the CMS NPPES public registry.