WELLESLEY PRIMARY CARE MEDICINE, PC
NPI 1750502795
General Practice in Wellesley, MA

NPI Status: Active since May 01, 2007

Contact Information

65 WALNUT ST
SUITE 500
WELLESLEY, MA
ZIP 02481
Phone: (781) 431-2345
Fax: (781) 239-9966

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  • Organization
  • General Practice
  • Accepts Insurance
  • CLIA Number: 22D0980551
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-26-2026

About WELLESLEY PRIMARY CARE MEDICINE, PC

This page provides the complete NPI Profile along with additional information for Wellesley Primary Care Medicine, Pc, a primary care provider established in Wellesley, Massachusetts operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1750502795 assigned on May 2007. The practitioner's primary taxonomy code is 208D00000X with license number 151413 (MA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Alan I. Glaser M.d. (Owner)

NPI
1750502795
Provider Name
WELLESLEY PRIMARY CARE MEDICINE, PC
Entity Type
Organization
Location Address
65 WALNUT ST SUITE 500 WELLESLEY, MA 02481
Location Phone
(781) 431-2345
Location Fax
(781) 239-9966
Mailing Address
65 WALNUT ST SUITE 500 WELLESLEY, MA 02481
Mailing Phone
(781) 431-2345
Mailing Fax
(781) 239-9966
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2007
Last Update Date
02-02-2009
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A primary care provider (PCP) like Wellesley Primary Care Medicine, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
151413
License State
MA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ALAN I. GLASER M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(781) 431-2345

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A22177MEDICARE ID-TYPE UNSPECIFIED (04)MA 
9757261MEDICAID (05)MA 
G42455MEDICARE UPIN (02)MA 
1184781742OTHER (01)MAINDIVIDUAL NPI NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0980551
Facility Type
Physician Office
Certificate Effective Date
November 27, 2024
Certificate Expiration Date
November 26, 2026
Laboratory Director
ALAN I. GLASER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellesley Primary Care Medicine, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WELLESLEY PRIMARY CARE MEDICINE, PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750502795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001004718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 4 + 7 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750502795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. PATRICIA ANN DAVIS MD

Pediatrics

65 WALNUT ST
MGH LADDERS
WELLESLEY, MA
ZIP 02481

(781) 449-6074

DR. MARGARET LANG BAUMAN MD

Pediatrics

65 WALNUT ST
MGH LADDERS
WELLESLEY, MA
ZIP 02481

(781) 449-6074

JACLYN E SANSONE OT

Occupational Therapist

65 WALNUT ST
SUITE # 370
WELLESLEY, MA
ZIP 02481

(413) 478-7019

DR. BRENDA E HAYNES MD

Specialist

65 WALNUT ST
SUITE 420
WELLESLEY, MA
ZIP 02481

(781) 237-0700

MICHAEL L GOLDABER MD

Dermatology

65 WALNUT ST
STE 520
WELLESLEY, MA
ZIP 02481

(781) 237-3500

RACHEL HERSCHENFELD MD

Dermatology

65 WALNUT ST
STE 480
WELLESLEY, MA
ZIP 02481

(781) 431-7733

DR. RUTH TEDALDI MD

Dermatology

65 WALNUT ST
STE 480
WELLESLEY, MA
ZIP 02481

(781) 431-7733

BRENDA HELLMANN NP

Nurse Practitioner

65 WALNUT ST
WELLESLEY, MA
ZIP 02481

(781) 431-2345

ELISSA J LUNDER MD

Dermatology

65 WALNUT ST
STE 480
WELLESLEY, MA
ZIP 02481

(781) 431-7733

IKRAM A FAROOQI M.D. C.W.S.

Internal Medicine

(Geriatric Medicine)

65 WALNUT ST
SUITE 360
WELLESLEY, MA
ZIP 02481

(781) 898-7301

LORI M GARA-MATTHEWS M.D.

Pediatrics

65 WALNUT ST
SUITE 310
WELLESLEY HILLS, MA
ZIP 02481

(781) 772-1527

ERNEST A SUTCLIFFE M.D.

Ophthalmology

65 WALNUT ST
SUITE 330
WELLESLEY HILLS, MA
ZIP 02481

(781) 237-1580

PEGGY J HOWRIGAN MD

Plastic Surgery

65 WALNUT ST
WELLESLEY HILLS, MA
ZIP 02481

(781) 237-5085

DR. ALAN I GLASER MD

Internal Medicine

65 WALNUT ST
SUITE 500
WELLESLEY, MA
ZIP 02481

(781) 431-2345

KELLIE LAVIN LAPIERRE GNP- BC

Nurse Practitioner

(Gerontology)

65 WALNUT ST
SUITE 500
WELLESLEY, MA
ZIP 02481

(781) 431-2345

MAUREEN WALSH RN,C,GNP,CDE

Nurse Practitioner

(Primary Care)

65 WALNUT ST
WELLESLEY, MA
ZIP 02481

(781) 235-9089

MRS. SNEHA ROBERT CAMPANELLA PA

Physician Assistant

(Medical)

65 WALNUT ST
SUTIE 520
WELLESLEY, MA
ZIP 02481

(781) 237-3500

JUDITH P SCOTT M.D.

Internal Medicine

65 WALNUT ST
SUITE 500
WELLESLEY, MA
ZIP 02481

(781) 431-2345

MRS. DIANE ELLEN JOYCE-OTIS NURSE PRACTIONER

Nurse Practitioner

(Family)

65 WALNUT ST
SUITE 590
WELLESLEY, MA
ZIP 02481

(781) 237-3395

DR. CARIN LITANI MD

Dermatology

(MOHS-Micrographic Surgery)

65 WALNUT ST
STE 480
WELLESLEY HILLS, MA
ZIP 02481

(843) 792-9784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750502795, enumerated as an "organization" on May 01, 2007.

The provider is located at 65 WALNUT ST SUITE 500 WELLESLEY, MA 02481 and the phone number is (781) 431-2345.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.