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

NPI Status: Active since January 05, 2014

Contact Information

300 CHESTNUT ST
STE 1400
NEEDHAM, MA
ZIP 02492
Phone: (781) 559-0230
Fax: (781) 559-0231

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 22D2077704
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-12-2026

About CLASSIC HEALTHCARE MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Classic Healthcare Medical Group Llc, an internist established in Needham, Massachusetts operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1649691957 assigned on January 2014. The practitioner's primary taxonomy code is 207R00000X with license number 205080 (MA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Steven Van Dam M.d. (Medical Director)

NPI
1649691957
Provider Name
CLASSIC HEALTHCARE MEDICAL GROUP LLC
Entity Type
Organization
Location Address
300 CHESTNUT ST STE 1400 NEEDHAM, MA 02492
Location Phone
(781) 559-0230
Location Fax
(781) 559-0231
Mailing Address
300 CHESTNUT ST STE 1400 NEEDHAM, MA 02492
Mailing Phone
(781) 559-0230
Mailing Fax
(781) 559-0231
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2014
Last Update Date
01-05-2014
Code Navigator

An internist like Classic Healthcare Medical Group Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
205080
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEVEN VAN DAM M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(781) 559-0230

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2077704
Facility Type
Physician Office
Certificate Effective Date
May 13, 2024
Certificate Expiration Date
May 12, 2026
Laboratory Director
STEVEN H. VAN DAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Classic Healthcare Medical Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649691957, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 2 + 9 + 2 + 9 + 1 + 0 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1649691957.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Sports Medicine)
300 CHESTNUT ST, SUITE 900
NEEDHAM, MA 02492
Dermatology
300 CHESTNUT ST, SUITE 1200
NEEDHAM, MA 02492
Dermatology
300 CHESTNUT ST, SUITE 1200
NEEDHAM, MA 02492
Internal Medicine (Hematology)
300 CHESTNUT ST, SUITE 700
NEEDHAM, MA 02492
Surgery (Plastic and Reconstructive Surgery)
300 CHESTNUT ST
NEEDHAM, MA 02492
Specialist
300 CHESTNUT ST, SUITE 800
NEEDHAM, MA 02492
Podiatrist (Sports Medicine)
300 CHESTNUT ST
NEEDHAM, MA 02492
Orthopaedic Surgery (Sports Medicine)
300 CHESTNUT ST, SUITE 900
NEEDHAM, MA 02492
Internal Medicine
300 CHESTNUT ST, SUITE 1400
NEEDHAM, MA 02492
Chiropractor
300 CHESTNUT ST, STE. 1000
NEEDHAM, MA 02492
Nurse Practitioner
300 CHESTNUT ST, SUITE 800
NEEDHAM, MA 02492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649691957, enumerated as an "organization" on January 05, 2014.

The provider is located at 300 CHESTNUT ST STE 1400 NEEDHAM, MA 02492 and the phone number is (781) 559-0230.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.