CENTRAL MASS MEDICAL GROUP
NPI 1164314290
Internal Medicine - Endocrinology, Diabetes & Metabolism in Worcester, MA

NPI Status: Active since July 15, 2025

Contact Information

SUITE 535, 123 SUMMER ST
WORCESTER, MA
ZIP 01608
Phone: (508) 635-1386
Fax: (877) 828-1729

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • CLIA Number: 22D2332230
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-15-2027

About CENTRAL MASS MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Central Mass Medical Group, an internist established in Worcester, Massachusetts operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1164314290 assigned on July 2025. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated one year ago. Central Mass Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Praveen Devineni (Ceo)

NPI
1164314290
Provider Name
CENTRAL MASS MEDICAL GROUP
Entity Type
Organization
Location Address
SUITE 535, 123 SUMMER ST WORCESTER, MA 01608
Location Phone
(508) 635-1386
Location Fax
(877) 828-1729
Mailing Address
43 MAPLE AVE, PO BOX 291 SHREWSBURY, MA 01545
Mailing Phone
(508) 635-1386
Mailing Fax
(877) 828-1729
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2025
Last Update Date
01-05-2026
Code Navigator

An internist like Central Mass Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PRAVEEN DEVINENI

Authorized Official Title
CEO
Authorized Official Phone
(508) 635-1386

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2332230
Facility Type
Physician Office
Certificate Effective Date
October 16, 2025
Certificate Expiration Date
October 15, 2027
Laboratory Director
SAI R. KATTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Mass Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164314290, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 6 + 1 + 8 + 2 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164314290.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164314290, enumerated as an "organization" on July 15, 2025.

The provider is located at SUITE 535, 123 SUMMER ST WORCESTER, MA 01608 and the phone number is (508) 635-1386.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.