INTEGRA PRIMARY HEALTH INC
NPI 1669289583
Clinic/Center - Primary Care in Canton, MA
About Integra Primary Health Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRA PRIMARY HEALTH INC (NPI 1669289583) is a healthcare organization registered as a primary care in Canton, Massachusetts and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Shahid Ali, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integra Primary Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Integra Primary Health Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 22D2332453
Integra Primary Health Inc · Canton, 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 Integra Primary Health Inc's NPI number?
The NPI number for Integra Primary Health Inc is 1669289583. It was assigned to this organization in the NPPES registry on December 13, 2024.
Where is Integra Primary Health Inc located?
Integra Primary Health Inc is located at 95 Washington St Ste 204, Canton, MA 02021. The listed phone number is (774) 578-7871.
What is Integra Primary Health Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Integra Primary Health Inc enrolled in Medicare?
Yes. Integra Primary Health Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integra Primary Health Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integra Primary Health Inc, in Hospitalist and Internal Medicine. 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 Integra Primary Health Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2332453) is associated with this NPI, valid through October 19, 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 Integra Primary Health Inc was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Integra Primary Health Inc · NPI 1669289583
Primary Care organization in Canton, Massachusetts. Organization record, active in the CMS NPPES registry since December 13, 2024.
## Identity
- **NPI:** 1669289583 (Entity type: Organization)
- **Enumerated:** December 13, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Shahid Ali, PARTNER
## Practice location
- **Address:** 95 WASHINGTON ST STE 204, Canton, MA 02021-4009
- **Phone:** (774) 578-7871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Hospitalist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669289583) · Data from the CMS NPPES public registry.