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

Q: What is Central Mass Medical Group's NPI number?

The NPI number for Central Mass Medical Group is 1164314290. It was assigned to this organization in the NPPES registry on July 15, 2025.

Q: What is Central Mass Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since July 15, 2025CLIA 22D2332230 · Waiver

SUITE 535, 123 SUMMER ST, WORCESTER, MA 01608(508) 635-1386(877) 828-1729 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2026, Dec 17, 2025, Dec 3, 2025 (3 updates tracked since 2025).

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About Central Mass Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL MASS MEDICAL GROUP (NPI 1164314290) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Worcester, Massachusetts and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Praveen Devineni, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164314290

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameCENTRAL MASS MEDICAL GROUP

Location AddressSUITE 535, 123 SUMMER STWorcester, MA 01608-1216

Mailing Address43 Maple Ave, Po Box 291Shrewsbury, MA 01545-9998 · (508) 635-1386 · Fax (877) 828-1729

Phone(508) 635-1386

Fax(877) 828-1729

Organization SubpartNo

Authorized OfficialPraveen DevineniCeo · (508) 635-1386

Enumeration DateJuly 15, 2025

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1164314290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

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.

SUITE 535, 123 SUMMER ST, Worcester, MA 01608

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 22D2332230

Central Mass Medical Group Inc · Worcester, MA

Active · expires Oct 15, 2027

CLIA Number22D2332230

Laboratory TypePhysician Office

Certificate Effective DateOctober 16, 2025

Certificate Expiration DateOctober 15, 2027

Laboratory DirectorSai R. Katta

Laboratory Phone(215) 908-2992

Laboratory LocationCentral Mass Medical Group Inc123 Summer Street Suite 535, Worcester, MA 01608

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Central Mass Medical Group's NPI number?

The NPI number for Central Mass Medical Group is 1164314290. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is Central Mass Medical Group located?

Central Mass Medical Group is located at Suite 535, 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 635-1386.

What is Central Mass Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Central Mass Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2332230) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Mass Medical Group was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.