UMASS MEMORIAL MEDICAL CENTER
NPI 1679791339
Clinic/Center - Primary Care in Worcester, MA
About Umass Memorial Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UMASS MEMORIAL MEDICAL CENTER (NPI 1679791339) is a healthcare organization registered as a primary care in Worcester, Massachusetts and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Todd Keating, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 22D2245173
Umass Memorial Medical Center · Worcester, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
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's NPI number?
The NPI number for Umass Memorial Medical Center is 1679791339. It was assigned to this organization in the NPPES registry on April 20, 2007.
Where is Umass Memorial Medical Center located?
Umass Memorial Medical Center is located at 55 Lake Ave North, Worcester, MA 01655. The listed phone number is (508) 334-0254.
What is Umass Memorial Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Umass Memorial Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2245173) is associated with this NPI, valid through December 8, 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 Umass Memorial Medical Center was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Umass Memorial Medical Center · NPI 1679791339
Primary Care organization in Worcester, Massachusetts. Organization record, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1679791339 (Entity type: Organization)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Umass Memorial Medical Center)
- **Authorized official:** Todd Keating, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 55 LAKE AVE NORTH, Worcester, MA 01655
- **Phone:** (508) 334-0254
## Record status
- **NPPES last updated:** July 11, 2007
- **Other identifiers:** Medicare PIN M20836 (MA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679791339) · Data from the CMS NPPES public registry.