CLASSIC HEALTHCARE MEDICAL GROUP LLC
NPI 1649691957
Internal Medicine in Needham, MA

Q: What is Classic Healthcare Medical Group LLC's NPI number?

The NPI number for Classic Healthcare Medical Group LLC is 1649691957. It was assigned to this organization in the NPPES registry on January 5, 2014.

Q: What is Classic Healthcare Medical Group LLC's specialty?

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

Active since January 05, 2014CLIA 22D2077704 · Waiver

300 CHESTNUT ST, STE 1400, NEEDHAM, MA 02492(781) 559-0230(781) 559-0231 Get Directions Write a Review

NPPES record last updated: January 5, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Classic Healthcare Medical Group Llc NPPES

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

CLASSIC HEALTHCARE MEDICAL GROUP LLC (NPI 1649691957) is a healthcare organization registered as an internal medicine in Needham, Massachusetts and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Steven Van Dam, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649691957

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCLASSIC HEALTHCARE MEDICAL GROUP LLC

Location Address300 CHESTNUT ST, STE 1400Needham, MA 02492-2497

Mailing Address300 Chestnut St, Ste 1400Needham, MA 02492-2497 · (781) 559-0230 · Fax (781) 559-0231

Phone(781) 559-0230

Fax(781) 559-0231

Organization SubpartNo

Authorized OfficialSteven Van DamMedical Director · (781) 559-0230

Enumeration DateJanuary 5, 2014

✔ NPI 1649691957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 205080

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.

300 CHESTNUT ST, Needham, MA 02492

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Classic Healthcare Medical Group Llc 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 Classic Healthcare Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Steven Van Dam, MD

Internal Medicine

NPI 1447206214

300 CHESTNUT ST SUITE 1400
Needham, MA 02492

(781) 559-0230

✔ PECOS✔ Accepts MedicareSame address

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 22D2077704

Classic Healthcare Medical Group LLC · Needham, MA

Active · expires May 12, 2028

CLIA Number22D2077704

Laboratory TypePhysician Office

Certificate Effective DateMay 13, 2026

Certificate Expiration DateMay 12, 2028

Laboratory DirectorSteven H. Van Dam

Laboratory Phone(781) 559-0230

Laboratory LocationClassic Healthcare Medical Group LLC300 Chestnut Street Suite 1400, Needham, MA 02492

CLIA data matches this NPI record on: Address Name Phone

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 Classic Healthcare Medical Group LLC's NPI number?

The NPI number for Classic Healthcare Medical Group LLC is 1649691957. It was assigned to this organization in the NPPES registry on January 5, 2014.

Where is Classic Healthcare Medical Group LLC located?

Classic Healthcare Medical Group LLC is located at 300 Chestnut St Ste 1400, Needham, MA 02492. The listed phone number is (781) 559-0230.

What is Classic Healthcare Medical Group LLC's specialty?

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

Is Classic Healthcare Medical Group LLC enrolled in Medicare?

Yes. Classic Healthcare Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Classic Healthcare Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Classic Healthcare Medical Group LLC. 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 Classic Healthcare Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2077704) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Classic Healthcare Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Classic Healthcare Medical Group LLC 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 Classic Healthcare Medical Group LLC was last updated on January 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.