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DANVERS FAMILY DOCTORS, PC
NPI 1902903115
Family Medicine in Peabody, MA

Active since September 20, 2006CLIA 22D0885989 · Waiver
1 ROOSEVELT AVE STE 204, PEABODY, MA 01960(978) 762-6262(978) 750-8312 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 23, 2024, Dec 13, 2023 (2 updates tracked since 2023).

About Danvers Family Doctors, Pc NPPES

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

DANVERS FAMILY DOCTORS, PC (NPI 1902903115) is a healthcare organization registered as a family medicine in Peabody, Massachusetts and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Donna Benton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902903115
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDANVERS FAMILY DOCTORS, PC
Location Address1 ROOSEVELT AVE STE 204Peabody, MA 01960-2227
Mailing Address1 Roosevelt Ave Ste 204Peabody, MA 01960-2227 · (978) 762-6262 · Fax (978) 750-8312
Phone(978) 762-6262
Fax(978) 750-8312
Organization SubpartNo
Authorized OfficialDonna BentonOffice Manager · (978) 762-6262
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1902903115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 ROOSEVELT AVE STE 204, Peabody, MA 01960
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Other Identifiers 1

Medicaid9723480MA

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danvers Family Doctors, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Danvers Family Doctors, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Subroto Bhattacharya, MD
Family Practice
NPI 1053341685
1 ROOSEVELT AVE STE 204
Peabody, MA 01960
(978) 762-6262
✔ PECOS✔ Accepts MedicareSame address
Hayley Mateen, CNP
Nurse Practitioner
NPI 1982393492
1 ROOSEVELT AVE STE 204
Peabody, MA 01960
(978) 762-6262
✔ PECOSSame address
Jennifer Richardson, FNP
Nurse Practitioner
NPI 1669529392
1 ROOSEVELT AVE STE 204
Peabody, MA 01960
(978) 762-6262
✔ PECOSSame address
Aenea Mead, MSN, RN, FNP-C
Nurse Practitioner
NPI 1982565842
1 ROOSEVELT AVE STE 204
Peabody, MA 01960
(978) 762-6262
✔ PECOS0.4 mi
Sara Castantini, FNP-BC
Nurse Practitioner
NPI 1477929610
140 COMMONWEALTH AVE SUITE 202
Danvers, MA 01923
(978) 762-6262
✔ PECOS1.9 mi

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 22D0885989

Danvers Family Doctors, PC · Peabody, MA
Active · expires Sep 14, 2027
CLIA Number22D0885989
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorSubroto Bhattacharya, MD
Laboratory Phone(978) 762-6262
Laboratory LocationDanvers Family Doctors, PC1 Roosevelt Ave Ste 204, Peabody, MA 01960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Danvers Family Doctors, PC's NPI number?

The NPI number for Danvers Family Doctors, PC is 1902903115. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Danvers Family Doctors, PC located?

Danvers Family Doctors, PC is located at 1 Roosevelt Ave Ste 204, Peabody, MA 01960. The listed phone number is (978) 762-6262.

What is Danvers Family Doctors, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Danvers Family Doctors, PC enrolled in Medicare?

Yes. Danvers Family Doctors, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Danvers Family Doctors, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Danvers Family Doctors, 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 Nurse Practitioner (4) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Danvers Family Doctors, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0885989) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Danvers Family Doctors, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Danvers Family Doctors, 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 Danvers Family Doctors, PC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.