ST MARYS INTERNAL MEDICINE PC
NPI 1194270413
Internal Medicine in Peabody, MA
About St Marys Internal Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST MARYS INTERNAL MEDICINE PC (NPI 1194270413) is a healthcare organization registered as an internal medicine in Peabody, Massachusetts and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 25, 2028 and lists Sungsik Hahn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
St Marys Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to St Marys Internal Medicine PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 Waiver 22D2120876
St Mary's Internal Medicine · Peabody, 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 St Marys Internal Medicine PC's NPI number?
The NPI number for St Marys Internal Medicine PC is 1194270413. It was assigned to this organization in the NPPES registry on August 16, 2016.
Where is St Marys Internal Medicine PC located?
St Marys Internal Medicine PC is located at 6 Essex Center Dr Suite 304, Peabody, MA 01960. The listed phone number is (978) 854-6376.
What is St Marys Internal Medicine PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is St Marys Internal Medicine PC enrolled in Medicare?
Yes. St Marys Internal Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Marys Internal Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to St Marys Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Marys Internal Medicine PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2120876) is associated with this NPI, valid through October 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Marys Internal Medicine PC accept?
Health plans from Anthem Blue Cross and Blue Shield list St Marys Internal Medicine 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 St Marys Internal Medicine PC was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.