QUINCY PRIMARY HEALTHCARE PC
NPI 1720597537
Clinic/Center in Quincy, MA
About Quincy Primary Healthcare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUINCY PRIMARY HEALTHCARE PC (NPI 1720597537) is a healthcare organization registered as a clinic/center in Quincy, Massachusetts and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Yan Tan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Quincy Primary Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Quincy Primary Healthcare PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 22D2343879
Quincy Primary Healthcare PC · Quincy, 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 Quincy Primary Healthcare PC's NPI number?
The NPI number for Quincy Primary Healthcare PC is 1720597537. It was assigned to this organization in the NPPES registry on September 25, 2017.
Where is Quincy Primary Healthcare PC located?
Quincy Primary Healthcare PC is located at 300 Congress St Ste 203, Quincy, MA 02169. The listed phone number is (617) 481-1771.
What is Quincy Primary Healthcare PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Quincy Primary Healthcare PC enrolled in Medicare?
Yes. Quincy Primary Healthcare PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Quincy Primary Healthcare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Quincy Primary Healthcare PC. 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 Quincy Primary Healthcare PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2343879) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Quincy Primary Healthcare PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Quincy Primary Healthcare PC 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 Quincy Primary Healthcare PC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Quincy Primary Healthcare Pc · NPI 1720597537
Clinic/Center organization in Quincy, Massachusetts. Organization record, active in the CMS NPPES registry since September 25, 2017.
## Identity
- **NPI:** 1720597537 (Entity type: Organization)
- **Enumerated:** September 25, 2017
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Yan Tan, PRESIDENT
## Practice location
- **Address:** 300 CONGRESS ST STE 203, Quincy, MA 02169-0907
- **Phone:** (617) 481-1771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720597537) · Data from the CMS NPPES public registry.