SOUTH SUBURBAN GASTROENTEROLOGY, PC
NPI 1114948478
Internal Medicine - Gastroenterology in South Weymouth, MA
About South Suburban Gastroenterology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SUBURBAN GASTROENTEROLOGY, PC (NPI 1114948478) is a healthcare organization registered as a gastroenterology in South Weymouth, Massachusetts and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through February 11, 2028 and lists Mary Phillips, Practice Administrator, 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)
South Suburban Gastroenterology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
93Medicare enrollment records show 93 clinicians reassign Medicare billing to South Suburban Gastroenterology, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 48 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 93Source: 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
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 Accreditation 22D0969576
South Suburban Gastroenterology PC · Weymouth, 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 South Suburban Gastroenterology, PC's NPI number?
The NPI number for South Suburban Gastroenterology, PC is 1114948478. It was assigned to this organization in the NPPES registry on July 22, 2006.
Where is South Suburban Gastroenterology, PC located?
South Suburban Gastroenterology, PC is located at 1085 Main St, South Weymouth, MA 02190. The listed phone number is (781) 331-2922.
What is South Suburban Gastroenterology, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is South Suburban Gastroenterology, PC enrolled in Medicare?
Yes. South Suburban Gastroenterology, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Suburban Gastroenterology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 93 clinicians in 6 Medicare specialties reassign their Medicare billing to South Suburban Gastroenterology, PC. 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 Certified Registered Nurse Anesthetist (CRNA) (51), Anesthesiology (26) and Gastroenterology (6). Of these, 4 practice at this address and 48 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Suburban Gastroenterology, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 22D0969576) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Suburban Gastroenterology, PC accept?
Health plans from Anthem Blue Cross and Blue Shield list South Suburban Gastroenterology, PC 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 South Suburban Gastroenterology, PC 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.
# South Suburban Gastroenterology, Pc · NPI 1114948478
Gastroenterology organization in South Weymouth, Massachusetts. Organization record, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1114948478 (Entity type: Organization)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Mary Phillips, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 1085 MAIN ST, South Weymouth, MA 02190-1547
- **Phone:** (781) 331-2922 · **Fax:** (781) 335-5702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 93 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (51), Anesthesiology (26), Gastroenterology (6); 4 practice at this address and 48 within 10 miles; [full list](https://npiprofile.com/npi/1114948478/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 9768882 (MA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114948478) · Data from the CMS NPPES public registry.