UMASS MEMORIAL MEDICAL GROUP INC
NPI 1760445373
Internal Medicine in Worcester, MA

Q: What is Umass Memorial Medical Group Inc's NPI number?

The NPI number for Umass Memorial Medical Group Inc is 1760445373. It was assigned to this organization in the NPPES registry on April 7, 2006.

Q: What is Umass Memorial Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 07, 2006

55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2025, May 12, 2025, Aug 22, 2022 and 1 more (4 updates tracked since 2016).

On this page

About Umass Memorial Medical Group Inc NPPES

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

UMASS MEMORIAL MEDICAL GROUP INC (NPI 1760445373) is a healthcare organization registered as an internal medicine in Worcester, Massachusetts and active in the NPI registry since April 2006. The organization lists Maureen Bresee-ferreira, Svp/coo, as its authorized official.

NPPES Registry Identity

NPI1760445373

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameUMASS MEMORIAL MEDICAL GROUP INC

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348, Attn: Provider Enrollment DepartmentBoston, MA 02241-5348 · (508) 334-8015 · Fax (508) 334-8105

Phone(508) 334-1000

Organization SubpartNo

Authorized OfficialMaureen Bresee-ferreiraSvp/coo · (774) 442-1520

Enumeration DateApril 7, 2006

Last NPPES UpdateDecember 22, 20254 updates tracked since enumeration

NPPES CertifiedDecember 22, 2025

✔ NPI 1760445373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedTransplant SurgeryTaxonomy 204F00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

55 LAKE AVE N, Worcester, MA 01655

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Other Identifiers 1

Medicaid110000045AMA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Umass Memorial Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMassachusettsEnrollment IDO20040113000267Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2,901

Medicare enrollment records show 2,901 clinicians reassign Medicare billing to Umass Memorial Medical Group Inc, which bills Medicare for the services they deliver. Of these, 881 practice at this address and 1,762 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner562

Internal Medicine350

Certified Registered Nurse Anesthetist (CRNA)221

Family Practice185

Diagnostic Radiology162

Emergency Medicine155

Anesthesiology122

Pediatric Medicine101

57 other specialties1,043

Nearest to this location (20)

See all 2,901

Billy Anabaka, AGACNP-BC

Nurse Practitioner

NPI 1699176727

55 LAKE AVE N
Worcester, MA 01655

(774) 443-7057

✔ PECOS✔ Accepts MedicareSame address

Pallav Bhattarai, MD

Critical Care (Intensivists)

NPI 1669896775

55 LAKE AVE N
Worcester, MA 01655

(774) 442-2164

✔ PECOSSame address

Poorva Bindal, M.B.B.S.

Hematology/Oncology

NPI 1184001562

55 LAKE AVE N
Worcester, MA 01655

(774) 442-3903

✔ PECOS✔ Accepts MedicareSame address

Carolynn Debenedectis, M.D.

Diagnostic Radiology

NPI 1558563882

55 LAKE AVE N
Worcester, MA 01655

(508) 334-7237

✔ PECOS✔ Accepts MedicareSame address

Zilmarie Diaz Pacheco, MD

Emergency Medicine

NPI 1679105662

55 LAKE AVE N
Worcester, MA 01655

(508) 421-1401

✔ PECOS✔ Accepts MedicareSame address

Joudy Dinnall, DPM

Podiatry

NPI 1033405741

55 LAKE AVE N
Worcester, MA 01655

(508) 334-1465

✔ PECOS✔ Accepts MedicareSame address

Andrew Dougherty, MD

Neurology

NPI 1346737301

55 LAKE AVE N
Worcester, MA 01655

(774) 441-8084

✔ PECOS✔ Accepts MedicareSame address

Pantea Ebrahimpour, M.D.

Internal Medicine

NPI 1205389715

55 LAKE AVE N
Worcester, MA 01655

(508) 334-3206

✔ PECOS✔ Accepts MedicareSame address

Thomas Greenough, M.D.

Infectious Disease

NPI 1184607665

55 LAKE AVE N DEPARTMENT OF INFECTIOUS DISEASE
Worcester, MA 01655

(774) 441-8230

✔ PECOS✔ Accepts MedicareSame address

Christopher Ito, M.D.

Otolaryngology

NPI 1487953907

55 LAKE AVE N
Worcester, MA 01655

(508) 856-4161

✔ PECOS✔ Accepts MedicareSame address

Sydney Moran, LICSW

Clinical Social Worker

NPI 1770251597

55 LAKE AVE N
Worcester, MA 01655

(774) 442-2853

✔ PECOSSame address

Benjamin Nelson, MD

Pulmonary Disease

NPI 1992831721

55 LAKE AVE N
Worcester, MA 01655

(774) 441-8086

✔ PECOSSame address

Pierre Philippeaux

Certified Registered Nurse Anesthetist (CRNA)

NPI 1538036181

55 LAKE AVE N
Worcester, MA 01655

(508) 332-3206

✔ PECOS✔ Accepts MedicareSame address

Anthony Saviri, M. D.

Anesthesiology

NPI 1417163775

55 LAKE AVE N
Worcester, MA 01655

(508) 856-3271

✔ PECOS✔ Accepts MedicareSame address

Judith Siegel, MD

Orthopedic Surgery

NPI 1518175058

55 LAKE AVE N
Worcester, MA 01655

(508) 334-2372

✔ PECOS✔ Accepts MedicareSame address

Shiming Xu

Endocrinology

NPI 1790262806

55 LAKE AVE N
Worcester, MA 01655

(508) 334-3206

✔ PECOS✔ Accepts MedicareSame address

Mary Alice Abbott, MD

Medical Genetics and Genomics

NPI 1982799417

55 LAKE AVE N
Worcester, MA 01655

(774) 442-5695

✔ PECOS✔ Accepts MedicareSame address

Konstantin Abramov, M.D.

Nephrology

NPI 1992854707

55 LAKE AVE N
Worcester, MA 01655

(508) 856-3155

✔ PECOS✔ Accepts MedicareSame address

Hanna Ahmed, M.D

Cardiovascular Disease (Cardiology)

NPI 1417111428

55 LAKE AVE N
Worcester, MA 01655

(508) 334-3452

✔ PECOS✔ Accepts MedicareSame address

Jeremy Aidlen, MD

General Surgery

NPI 1750558508

55 LAKE AVE N DIVISION OF PEDIATRIC SURGERY
Worcester, MA 01655

(508) 856-2128

✔ PECOSSame address

See all 2,901 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Umass Memorial Medical Group Inc's NPI number?

The NPI number for Umass Memorial Medical Group Inc is 1760445373. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Umass Memorial Medical Group Inc located?

Umass Memorial Medical Group Inc is located at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Umass Memorial Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Umass Memorial Medical Group Inc enrolled in Medicare?

Yes. Umass Memorial Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Umass Memorial Medical Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Umass Memorial Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,901 clinicians in 65 Medicare specialties reassign their Medicare billing to Umass Memorial Medical Group Inc. 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 Nurse Practitioner (562), Internal Medicine (350) and Certified Registered Nurse Anesthetist (CRNA) (221). Of these, 881 practice at this address and 1,762 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Umass Memorial Medical Group Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Umass Memorial Medical Group Inc 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 Umass Memorial Medical Group Inc was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.