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WAYLAND PERSONAL PHYSICIANS PLLC
NPI 1710422373
Internal Medicine in Wayland, MA

Active since January 05, 2017CLIA 22D2131111 · Waiver
109 ANDREW AVE, SUITE 203, WAYLAND, MA 01778(508) 358-3300(508) 358-2300 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2017, Feb 16, 2017, Feb 2, 2017 and 2 more (5 updates tracked since 2017).

About Wayland Personal Physicians Pllc NPPES

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

WAYLAND PERSONAL PHYSICIANS PLLC (NPI 1710422373) is a healthcare organization registered as an internal medicine in Wayland, Massachusetts and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Fred Goldman, Owner, as its authorized official.

NPPES Registry Identity

NPI1710422373
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWAYLAND PERSONAL PHYSICIANS PLLC
Location Address109 ANDREW AVE, SUITE 203Wayland, MA 01778-3157
Mailing Address109 Andrew Ave, Suite 203Wayland, MA 01778-3157 · (508) 358-3300 · Fax (508) 358-2300
Phone(508) 358-3300
Fax(508) 358-2300
Organization SubpartNo
Authorized OfficialFred GoldmanOwner · (508) 358-3300
Enumeration DateJanuary 5, 2017
Last NPPES UpdateApril 18, 20175 updates tracked since enumeration
✔ NPI 1710422373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
109 ANDREW AVE, Wayland, MA 01778
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Other Identifiers 2

Medicaid110120655AMA
Medicare PINS100361067MA

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)

Wayland Personal Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wayland Personal Physicians PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Frederic Goldman, M.D.
Internal Medicine
NPI 1982642260
109 ANDREW AVE STE 203 WAYLAND PERSONAL PHYSICIANS
Wayland, MA 01778
(508) 358-3300
✔ PECOS✔ Accepts MedicareSame address
Jonathan Smith, M.D.
Internal Medicine
NPI 1023057015
109 ANDREW AVE SUITE 203
Wayland, MA 01778
(508) 358-3300
✔ PECOS✔ Accepts MedicareSame address
Jane Yu, MD
Family Practice
NPI 1902887888
110 LIBERTY ST
Brockton, MA 02301
(508) 894-0400
✔ PECOS✔ Accepts Medicare26 mi

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 22D2131111

Wayland Personal Physicians · Wayland, MA
Active · expires May 22, 2027
CLIA Number22D2131111
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorFrederic Goldman
Laboratory Phone(508) 358-3300
Laboratory LocationWayland Personal Physicians109 Andrews Ave Ste 203, Wayland, MA 01778
CLIA data matches this NPI record on: 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 Wayland Personal Physicians PLLC's NPI number?

The NPI number for Wayland Personal Physicians PLLC is 1710422373. It was assigned to this organization in the NPPES registry on January 5, 2017.

Where is Wayland Personal Physicians PLLC located?

Wayland Personal Physicians PLLC is located at 109 Andrew Ave Suite 203, Wayland, MA 01778. The listed phone number is (508) 358-3300.

What is Wayland Personal Physicians PLLC's specialty?

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

Is Wayland Personal Physicians PLLC enrolled in Medicare?

Yes. Wayland Personal Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayland Personal Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wayland Personal Physicians PLLC, in Family Practice 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wayland Personal Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2131111) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayland Personal Physicians PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Wayland Personal Physicians PLLC 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 Wayland Personal Physicians PLLC was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.