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MAIN STREET PEDIATRICS
NPI 1720112865
Pediatrics in Hopkinton, MA

Active since March 14, 2007CLIA 22D0996003 · Waiver
77 W MAIN ST, HOPKINTON, MA 01748(508) 435-5506 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Pediatrics NPPES

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

MAIN STREET PEDIATRICS (NPI 1720112865) is a healthcare organization registered as a pediatrics in Hopkinton, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Robert Drew Basow, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1720112865
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAIN STREET PEDIATRICS
Location Address77 W MAIN STHopkinton, MA 01748-1684
Mailing Address77 W Main StHopkinton, MA 01748-1684 · (508) 435-5506
Phone(508) 435-5506
Organization SubpartNo
Authorized OfficialRobert Drew BasowPart Owner · (508) 435-5506
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720112865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
77 W MAIN ST, Hopkinton, MA 01748
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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 ›

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 22D0996003

Main St Pediatrics · Hopkinton, MA
Active · expires May 1, 2028
CLIA Number22D0996003
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorStephanie Bodor
Laboratory Phone(508) 435-5506
Laboratory LocationMain St Pediatrics77 R West Main Street, Hopkinton, MA 01748
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY R DEPAULA LIC. AC.
Acupuncturist
77 W MAIN ST, SUITE 205
HOPKINTON, MA 01748
Middlesex County (508) 435-8182
DR. JENNIFER BELESI DC
Chiropractor
77 W MAIN ST, SUITE 205
HOPKINTON, MA 01748
Middlesex County (508) 435-8182
STACEY BEBERMAN M.D.
Internal Medicine
77 W MAIN ST, SUITE 204
HOPKINTON, MA 01748
Middlesex County (508) 435-4414
IRFAN M RAHIM M.D.
Pediatrics
77 W MAIN ST
HOPKINTON, MA 01748
Middlesex County (508) 435-5506
CEDAR STREET CHIROPRACTIC PC
Chiropractor
77 W MAIN ST, SUITE 211
HOPKINTON, MA 01748
Middlesex County (508) 435-8182
HOPKINTON DENTAL ASSOCIATES, P.C.
Clinic/Center (Dental)
77 W MAIN ST, SUITE 210
HOPKINTON, MA 01748
Middlesex County (508) 435-5455
MR. DAVID CONNOR MARBLE
Acupuncturist
77 W MAIN ST, SUITE 205
HOPKINTON, MA 01748
Middlesex County (508) 435-8184
MILFORD BRACES PC
Dentist (Orthodontics and Dentofacial Orthopedics)
77 W MAIN ST, SUITE 209
HOPKINTON, MA 01748
Middlesex County (617) 308-5361

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 Main Street Pediatrics's NPI number?

The NPI number for Main Street Pediatrics is 1720112865. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Main Street Pediatrics located?

Main Street Pediatrics is located at 77 W Main St, Hopkinton, MA 01748. The listed phone number is (508) 435-5506.

What is Main Street Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Main Street Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0996003) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Main Street Pediatrics accept?

Health plans from Anthem Blue Cross and Blue Shield list Main Street Pediatrics 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 Main Street Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.