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LEOMINSTER PRIMARY CARE LLC
NPI 1952069874
Internal Medicine in Leominster, MA

Active since December 08, 2021
50 MEMORIAL DRIVE, STE 210, LEOMINSTER, MA 01453(978) 514-8704(978) 514-8705 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leominster Primary Care Llc NPPES

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

LEOMINSTER PRIMARY CARE LLC (NPI 1952069874) is a healthcare organization registered as an internal medicine in Leominster, Massachusetts and active in the NPI registry since December 2021. The organization lists Stephanie M Child, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952069874
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEOMINSTER PRIMARY CARE LLC
Location Address50 MEMORIAL DRIVE, STE 210Leominster, MA 01453-2238
Mailing Address50 Memorial Drive, Ste 210Leominster, MA 01453-2238 · (978) 514-8704 · Fax (978) 514-8705
Phone(978) 514-8704
Fax(978) 514-8705
Organization SubpartNo
Authorized OfficialStephanie M ChildOffice Manager · (978) 407-2476
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1952069874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
50 MEMORIAL DRIVE, Leominster, MA 01453
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Other Identifiers 1

Medicaid110049609AMA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leominster Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leominster Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Child, M.D.
Preventive Medicine
NPI 1790747442
50 MEMORIAL DR SUITE 210
Leominster, MA 01453
(978) 514-8704
✔ PECOS✔ Accepts MedicareSame address

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 Leominster Primary Care LLC's NPI number?

The NPI number for Leominster Primary Care LLC is 1952069874. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Leominster Primary Care LLC located?

Leominster Primary Care LLC is located at 50 Memorial Drive Ste 210, Leominster, MA 01453. The listed phone number is (978) 514-8704.

What is Leominster Primary Care LLC's specialty?

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

Is Leominster Primary Care LLC enrolled in Medicare?

Yes. Leominster Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leominster Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Preventive Medicine) reassigns their Medicare billing to Leominster Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leominster Primary Care LLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.