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WORCESTER PEDIATRICS PC
NPI 1740654599
Pediatrics in Worcester, MA

Active since November 17, 2015CLIA 22D0069690 · Waiver
123 SUMMER ST, 690 NORTH, WORCESTER, MA 01608(508) 363-9530(508) 363-9535 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Worcester Pediatrics Pc NPPES

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

WORCESTER PEDIATRICS PC (NPI 1740654599) is a healthcare organization registered as a pediatrics in Worcester, Massachusetts and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Paulette Kimball-wren, President, as its authorized official.

NPPES Registry Identity

NPI1740654599
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWORCESTER PEDIATRICS PC
Location Address123 SUMMER ST, 690 NORTHWorcester, MA 01608-1216
Mailing Address123 Summer St, 690 NorthWorcester, MA 01608-1216 · (508) 363-9530 · Fax (508) 363-9535
Phone(508) 363-9530
Fax(508) 363-9535
Organization SubpartNo
Authorized OfficialPaulette Kimball-wrenPresident · (508) 363-9530
Enumeration DateNovember 17, 2015
Last NPPES UpdateOctober 4, 2016
✔ NPI 1740654599 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.
123 SUMMER ST, Worcester, MA 01608
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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 22D0069690

Worcester Pediatrics, PC · Worcester, MA
Active · expires Jan 11, 2027
CLIA Number22D0069690
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorPaulette Kimball-Wren
Laboratory Phone(508) 363-9530
Laboratory LocationWorcester Pediatrics, PC123 Summer St Ste 690, Worcester, MA 01608
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MADAIAH LOKESHWARI M.D.
Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6849
DR. JENNIFER LYNNE PAPPALARDO DPM
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Worcester County (508) 363-7390
DR. MADHAV SHARMA MD
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5438
YESHASWINI KATKOORI MD
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DANIELLE MAY PELOQUIN
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DR. YAYAN CHEN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6049
FARRICY & KRAFT LLP
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Worcester County (508) 363-6100
KEITH A BEALS PA
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000

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 Worcester Pediatrics PC's NPI number?

The NPI number for Worcester Pediatrics PC is 1740654599. It was assigned to this organization in the NPPES registry on November 17, 2015.

Where is Worcester Pediatrics PC located?

Worcester Pediatrics PC is located at 123 Summer St 690 North, Worcester, MA 01608. The listed phone number is (508) 363-9530.

What is Worcester Pediatrics PC's specialty?

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

Does Worcester Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0069690) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Worcester Pediatrics PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Worcester Pediatrics 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 Worcester Pediatrics PC was last updated on October 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.