UMASS MEMORIAL MEDICAL CENTER, INC
NPI 1679131361
Dietitian, Registered in Worcester, MA

Q: What is Umass Memorial Medical Center, Inc's NPI number?

The NPI number for Umass Memorial Medical Center, Inc is 1679131361. It was assigned to this organization in the NPPES registry on May 29, 2019.

Q: What is Umass Memorial Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since May 29, 2019

55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Umass Memorial Medical Center, Inc NPPES

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

UMASS MEMORIAL MEDICAL CENTER, INC (NPI 1679131361) is a healthcare organization registered as a dietitian, registered in Worcester, Massachusetts and active in the NPI registry since May 2019. The organization lists Marilyn Amaya, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1679131361

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameUMASS MEMORIAL MEDICAL CENTER, INC

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415353Boston, MA 02241-5353 · (508) 334-1840

Phone(508) 334-1000

Organization SubpartNo

Authorized OfficialMarilyn AmayaProvider Enrollment Specialist · (508) 334-6503

Enumeration DateMay 29, 2019

✔ NPI 1679131361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X

Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X

Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X

55 LAKE AVE N, Worcester, MA 01655

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Umass Memorial Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 63 clinicians reassign Medicare billing to Umass Memorial Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner20

Qualified Audiologist18

Registered Dietitian or Nutrition Professional18

Clinical Psychologist4

Clinical Social Worker2

Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 63

Dawn Bull, NP

Nurse Practitioner

NPI 1891941167

55 LAKE AVE N
Worcester, MA 01655

(508) 334-3278

✔ PECOSSame address

Anna Grotevant, MS, RD, LDN

Registered Dietitian or Nutrition Professional

NPI 1669893996

55 LAKE AVE N
Worcester, MA 01655

(774) 443-3887

Same address

Susan Miller, M.S., R.D., CDE

Registered Dietitian or Nutrition Professional

NPI 1508278706

371 WILDWOOD AVE
Worcester, MA 01603

(508) 799-0492

1.2 mi

Mallory Gibbons, N.P.

Nurse Practitioner

NPI 1083150361

21 EASTERN AVE
Worcester, MA 01605

(508) 556-0223

✔ PECOS2.8 mi

Rachel King

Registered Dietitian or Nutrition Professional

NPI 1962291526

119 BELMONT ST
Worcester, MA 01605

(774) 519-3848

3.0 mi

Cindy Brown, NP

Nurse Practitioner

NPI 1992779227

119 BELMONT ST DEPARTMENT OF CRITICAL CARE
Worcester, MA 01605

(508) 334-6477

✔ PECOS3.0 mi

Meghan Lavin, CNP

Nurse Practitioner

NPI 1831542646

119 BELMONT ST UMASS MEMORIAL MEDICAL CENTER, PRE-SURGICAL EVALUATION
Worcester, MA 01605

(508) 334-8497

✔ PECOS3.0 mi

Caitlyn Leavitt, RD, LDN

Registered Dietitian or Nutrition Professional

NPI 1235806910

119 BELMONT ST
Worcester, MA 01605

(774) 272-1004

3.0 mi

Patricia Macculloch, NP

Nurse Practitioner

NPI 1194822650

119 BELMONT STREET SPINCE CENTER
Worcester, MA 01605

(508) 334-1886

✔ PECOS3.0 mi

Nicole Williams

Nurse Practitioner

NPI 1194202655

119 BELMONT ST
Worcester, MA 01605

(508) 334-1000

✔ PECOS3.0 mi

Danielle Viveiros

Nurse Practitioner

NPI 1245515238

33 KENDALL ST
Worcester, MA 01605

(508) 334-5603

✔ PECOS3.0 mi

Samantha Baker, AUD

Qualified Audiologist

NPI 1326518820

281 LINCOLN ST
Worcester, MA 01605

(508) 334-8726

3.6 mi

Tina Coderre, M.A., CCC-A

Qualified Audiologist

NPI 1245391671

281 LINCOLN ST
Worcester, MA 01605

(508) 334-8726

3.6 mi

Kristen O'connor

Qualified Audiologist

NPI 1104952365

281 LINCOLN ST DEPT OF
Worcester, MA 01605

(508) 334-8726

3.6 mi

Adele Ory

Qualified Audiologist

NPI 1740964659

281 LINCOLN ST
Worcester, MA 01605

(508) 334-8791

3.6 mi

Jamilee Sawicki, AUD

Qualified Audiologist

NPI 1366132631

281 LINCOLN ST
Worcester, MA 01605

(508) 334-1000

3.6 mi

Sara Berdos, AUD

Qualified Audiologist

NPI 1104482157

281 LINCOLN ST STE 253
Worcester, MA 01605

(508) 334-8726

3.7 mi

Jessica Mousseau, MS, RDN

Registered Dietitian or Nutrition Professional

NPI 1467083089

55 LAKE AVE N
Worcester, MA 01655

(774) 442-3230

4.4 mi

Jennifer Hall, R.D.

Registered Dietitian or Nutrition Professional

NPI 1346334323

55 LAKE AVE N
Worcester, MA 01655

(774) 441-7615

4.4 mi

Idalmis Murray, RN PC

Certified Clinical Nurse Specialist (CNS)

NPI 1326203464

55 LAKE AVE N
Worcester, MA 01655

(508) 334-3562

✔ PECOS✔ Accepts Medicare4.4 mi

See all 63 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 Umass Memorial Medical Center, Inc's NPI number?

The NPI number for Umass Memorial Medical Center, Inc is 1679131361. It was assigned to this organization in the NPPES registry on May 29, 2019.

Where is Umass Memorial Medical Center, Inc located?

Umass Memorial Medical Center, Inc is located at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Umass Memorial Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Umass Memorial Medical Center, Inc enrolled in Medicare?

Yes. Umass Memorial Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Umass Memorial Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 6 Medicare specialties reassign their Medicare billing to Umass Memorial Medical Center, 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 (20), Qualified Audiologist (18) and Registered Dietitian or Nutrition Professional (18). Of these, 2 practice at this address and 46 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 Umass Memorial Medical Center, Inc was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.