WELLESLEY PRIMARY CARE MEDICINE, PC
NPI 1750502795
General Practice in Wellesley, MA
About Wellesley Primary Care Medicine, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLESLEY PRIMARY CARE MEDICINE, PC (NPI 1750502795) is a healthcare organization registered as a general practice in Wellesley, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Alan I. Glaser, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellesley Primary Care Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Wellesley Primary Care Medicine, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (18)
Wellesley, MA 02481
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 22D0980551
Wellesley Primary Care Medicine PC · Wellesley, 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 Wellesley Primary Care Medicine, PC's NPI number?
The NPI number for Wellesley Primary Care Medicine, PC is 1750502795. It was assigned to this organization in the NPPES registry on May 1, 2007.
Where is Wellesley Primary Care Medicine, PC located?
Wellesley Primary Care Medicine, PC is located at 65 Walnut St Suite 500, Wellesley, MA 02481. The listed phone number is (781) 431-2345.
What is Wellesley Primary Care Medicine, PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Wellesley Primary Care Medicine, PC enrolled in Medicare?
Yes. Wellesley Primary Care Medicine, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellesley Primary Care Medicine, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 2 Medicare specialties reassign their Medicare billing to Wellesley Primary Care Medicine, 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. The largest specialties are Internal Medicine (9) and Nurse Practitioner (9). Of these, 4 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellesley Primary Care Medicine, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D0980551) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wellesley Primary Care Medicine, PC was last updated on February 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Wellesley Primary Care Medicine, Pc · NPI 1750502795
General Practice organization in Wellesley, Massachusetts. Organization record, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1750502795 (Entity type: Organization)
- **Enumerated:** May 1, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Alan Glaser, OWNER
## Practice location
- **Address:** 65 WALNUT ST, SUITE 500, Wellesley, MA 02481-2118
- **Phone:** (781) 431-2345 · **Fax:** (781) 239-9966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (9), Nurse Practitioner (9); 4 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2009
- **Other identifiers:** Medicare ID-Type Unspecified A22177 (MA); Medicaid 9757261 (MA); Medicare UPIN G42455 (MA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750502795) · Data from the CMS NPPES public registry.