BOSTON'S COMMUNITY MEDICAL GROUP, INC.
NPI 1235174418
Clinic/Center - Primary Care in Boston, MA

Active since June 19, 2006
30 NORTHAMPTON STREET, BOSTON, MA 02118(617) 433-9601(617) 445-6413 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2021, Apr 23, 2021, Aug 24, 2017 and 1 more (4 updates tracked since 2015).

About Boston's Community Medical Group, Inc. NPPES

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

BOSTON'S COMMUNITY MEDICAL GROUP, INC. (NPI 1235174418), doing business as Cca Primary Care, is a healthcare organization registered as a primary care in Boston, Massachusetts and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Springfield and lists Biljana Simikic, Acting Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235174418
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOSTON'S COMMUNITY MEDICAL GROUP, INC.
Location Address30 NORTHAMPTON STREETBoston, MA 02118
Mailing Address30 Northampton StreetBoston, MA 02118 · (617) 433-9601 · Fax (617) 445-6538
Fax(617) 445-6413
Organization SubpartNo
Authorized OfficialBiljana SimikicActing Medical Director · (617) 433-9601
Enumeration DateJune 19, 2006
Last NPPES UpdateFebruary 20, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1235174418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
30 NORTHAMPTON STREET, Boston, MA 02118

Other Names 1

Doing Business AsCca Primary Care

Secondary Practice Location 1

Location 13550 Main St Ste 101Springfield, MA 01107-1078 · Phone (413) 858-7400

Other Identifiers 1

Medicaid110071110AMA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boston's Community Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20050113000756Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Boston's Community Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 20 practice at this address and 30 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner31
Clinical Social Worker8
Internal Medicine5
Mental Health Counselor3
Family Practice1
Physical Therapist in Private Practice1
Psychiatry1

Nearest to this location (20)

See all 50
Mental Health Counselor
NPI 1184923799
30 NORTHAMPTON ST
Boston, MA 02118
(617) 426-0600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184280091
30 NORTHAMPTON ST
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851012264
30 NORTHAMPTON ST
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972957355
30 NORTHAMPTON ST
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427239912
30 NORTHAMPTON ST
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639364441
30 NORTHAMPTON ST
Boston, MA 02118
(413) 858-7400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164605200
30 NORTHAMPTON STREET
Boston, MA 02188
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1912650581
30 NORTHAMPTON ST
Boston, MA 02118
(857) 262-0515
✔ PECOSSame address
Nurse Practitioner
NPI 1710345657
30 NORTHAMPTON ST
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215367446
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOSSame address
Nurse Practitioner
NPI 1982030839
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689807786
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1033292636
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699055830
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730328477
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1912267378
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477802205
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457978389
30 NORTHAMPTON ST
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518385822
30 NORTHAMPTON STREET
Boston, MA 02118
(617) 433-9601
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1669532479
30 NORTHAMPTON ST
Boston, MA 02118
(857) 276-8913
✔ PECOSSame address
See all 50 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Boston's Community Medical Group, Inc.'s NPI number?

The NPI number for Boston's Community Medical Group, Inc. is 1235174418. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as CCA Primary Care.

Where is Boston's Community Medical Group, Inc. located?

Boston's Community Medical Group, Inc. is located at 30 Northampton Street, Boston, MA 02118. The listed phone number is (617) 433-9601.

What is Boston's Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Boston's Community Medical Group, Inc. enrolled in Medicare?

Yes. Boston's Community Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

When is Boston's Community Medical Group, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Boston's Community Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 7 Medicare specialties reassign their Medicare billing to Boston's Community Medical Group, Inc.. 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 Nurse Practitioner (31), Clinical Social Worker (8) and Internal Medicine (5). Of these, 20 practice at this address and 30 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boston's Community Medical Group, Inc. was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.