GREATER BOSTON FAMILY MEDICINE PLLC
NPI 1114711900
Family Medicine in Needham, MA
About Greater Boston Family Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREATER BOSTON FAMILY MEDICINE PLLC (NPI 1114711900) is a healthcare organization registered as a family medicine in Needham, Massachusetts and active in the NPI registry since April 2025. The organization lists Luisa Mazaeva, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greater Boston Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Greater Boston Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Greater Boston Family Medicine PLLC's NPI number?
The NPI number for Greater Boston Family Medicine PLLC is 1114711900. It was assigned to this organization in the NPPES registry on April 7, 2025.
Where is Greater Boston Family Medicine PLLC located?
Greater Boston Family Medicine PLLC is located at 35 Highland Cir Ste 306, Needham, MA 02494. The listed phone number is (781) 973-0052.
What is Greater Boston Family Medicine PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Greater Boston Family Medicine PLLC enrolled in Medicare?
Yes. Greater Boston Family Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greater Boston Family Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Greater Boston Family Medicine PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Greater Boston Family Medicine PLLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Greater Boston Family Medicine Pllc · NPI 1114711900
Family Medicine organization in Needham, Massachusetts. Organization record, active in the CMS NPPES registry since April 7, 2025.
## Identity
- **NPI:** 1114711900 (Entity type: Organization)
- **Enumerated:** April 7, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Luisa Mazaeva, OWNER
## Practice location
- **Address:** 35 HIGHLAND CIR STE 306, Needham, MA 02494-3099
- **Phone:** (781) 973-0052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114711900) · Data from the CMS NPPES public registry.