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INNOVARE MEDICAL, PC
NPI 1184455438
Internal Medicine in Brookline, MA

Active since August 09, 2024CLIA 22D2320060 · Waiver
1180 BEACON ST STE 4A, BROOKLINE, MA 02446(508) 654-8496 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovare Medical, Pc NPPES

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

INNOVARE MEDICAL, PC (NPI 1184455438) is a healthcare organization registered as an internal medicine in Brookline, Massachusetts and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Ping Jin, Secretary, as its authorized official.

NPPES Registry Identity

NPI1184455438
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINNOVARE MEDICAL, PC
Location Address1180 BEACON ST STE 4ABrookline, MA 02446-3806
Mailing Address187 Rice RdWayland, MA 01778-2808
Phone(508) 654-8496
Organization SubpartNo
Authorized OfficialPing JinSecretary · (774) 641-7020
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1184455438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
1180 BEACON ST STE 4A, Brookline, MA 02446
Open in Google Maps ↗

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 22D2320060

Innovare Medical PC · Brookline, MA
Active · expires Mar 11, 2027
CLIA Number22D2320060
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorHua Lu
Laboratory Phone(617) 934-8493
Laboratory LocationInnovare Medical PC1180 Beacon Street Suite 4A, Brookline, MA 02446
CLIA data matches this NPI record on: Address 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.

DR. HUA ANN JENNY LU MD PHD
Internal Medicine
1180 BEACON ST STE 4A
BROOKLINE, MA 02446
Norfolk County (617) 934-8493
KATHERINE ZUCKERMAN RN, PNP
Nurse Practitioner (Pediatrics)
1180 BEACON ST STE 4A
BROOKLINE, MA 02446
Norfolk County (617) 232-2915

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 Innovare Medical, PC's NPI number?

The NPI number for Innovare Medical, PC is 1184455438. It was assigned to this organization in the NPPES registry on August 9, 2024.

Where is Innovare Medical, PC located?

Innovare Medical, PC is located at 1180 Beacon St Ste 4A, Brookline, MA 02446. The listed phone number is (508) 654-8496.

What is Innovare Medical, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Innovare Medical, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2320060) is associated with this NPI, valid through March 11, 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 Innovare Medical, PC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.