MILL CITY MEDICAL GROUP LTD
NPI 1053346692
Internal Medicine in Lowell, MA

Active since July 12, 2006CLIA Certified · 2 labs
45 PALMER STREET, LOWELL, MA 01852(978) 970-1607(978) 970-1115 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1053346692
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILL CITY MEDICAL GROUP LTD
Location Address45 PALMER STREETLowell, MA 01852
Mailing Address45 Palmer StreetLowell, MA 01852 · (978) 970-1607 · Fax (978) 970-1115
Fax(978) 970-1115
Organization SubpartNo
Authorized OfficialDavid C PickulPresident · (978) 970-1607
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1053346692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

45 PALMER STREET, Lowell, MA 01852

Other Identifiers 1

Medicaid9719628MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, MA
Active · expires Sep 14, 2027
CLIA Number22D0713375
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorMatthew D. Savory
Laboratory Phone(978) 955-9500
Laboratory LocationMill City Medical165 Thorndike Street 4th Floor, Lowell, MA 01852
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2124935

Mill City Medical · Lowell, MA
Active · expires Jan 26, 2027
CLIA Number22D2124935
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorMatthew D. Savory
Laboratory Phone(978) 955-9500
Laboratory LocationMill City Medical595 Pawtucket Blvd, 2nd Floor, Lowell, MA 01854
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
45 PALMER STREET
LOWELL, MA 01852
Nurse Practitioner (Family)
45 PALMER STREET
LOWELL, MA 01852

Frequently 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.

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 with the weekly NPPES data releases published by CMS.