Organization Active NPI

Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
National Provider Identifier
1013997329
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINT VINCENT PHYSICIAN SERVICES, INC.
Practice address
123 Summer St Ste 279
Worcester, MA 01608-1216
Phone
(508) 363-6040
Fax
(508) 636-9268
NPI assigned
Jan 20, 2006
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Rasmus
Title
VP, Cfo TPR Tenet
Phone
(469) 893-2532

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Anatomic Pathology Physician 207ZP0101X NU
Pediatrics Physician 208000000X NU
Pediatric Gastroenterology Physician 2080P0206X NU
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Colon & Rectal Surgery Physician 208C00000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Advanced Practice Midwife 367A00000X NU

Addresses

Primary practice location

123 Summer St Ste 279
Worcester, MA 01608-1216

Mailing address

PO Box 11760
Belfast, ME 04915-4008
Phone (800) 328-9381

Other identifiers 1

IdentifierTypeStateIssuer
9736701MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104000566 MA Part B Supplier - Clinic/Group Practice 8921056276 Receives reassigned benefits from 249 practitioners

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1051166Saint Vincent Physician Services Inc123 Summer Street, Worcester, MA 01608Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 36)

813 Southbridge St
Auburn, MA 01501
Phone (508) 784-1278

9 Trolley Crossing Rd
Charlton, MA 01507
Phone (508) 784-1278

260 Cochituate Rd
Fl 1
Framingham, MA 01701
Phone (508) 532-7520

10010K Shops Way
Northborough, MA 01532
Phone (508) 356-7600

112 W Main St
Northborough, MA 01532
Phone (508) 351-9255

555 Main St
Shrewsbury, MA 01545
Phone (508) 842-2010

100 Leominster Rd
Ste 1
Sterling, MA 01564
Phone (978) 422-7744

92 E Main St
Westborough, MA 01581
Phone (508) 366-9294

1 Eaton Pl
#100
Worcester, MA 01608
Phone (508) 363-7100

1 Eaton Pl
#22
Worcester, MA 01608
Phone (508) 363-6881

1 Eaton Pl
#23
Worcester, MA 01608
Phone (508) 363-6515

1 Eaton Pl
Ste 1BB
Worcester, MA 01608
Phone (508) 363-7591

1 Eaton Pl
Ste 23
Worcester, MA 01608
Phone (508) 363-6515

102 Shore Dr
#580
Worcester, MA 01605
Phone (508) 363-5670

102 Shore Dr
Ste 303
Worcester, MA 01605
Phone (508) 856-0458

102 Shore Dr
Ste 403
Worcester, MA 01605
Phone (508) 852-5230

102 Shore Dr
Ste 501
Worcester, MA 01605
Phone (508) 407-7930

102 Shore Dr
Ste 502
Worcester, MA 01605
Phone (508) 425-7670

104 Randolph Rd
Worcester, MA 01606
Phone (508) 853-6687

108 Grove St
Ste 101
Worcester, MA 01605
Phone (508) 453-1002

121 Providence St
Worcester, MA 01604
Phone (508) 363-6199

123 Summer St
#270
Worcester, MA 01608
Phone (508) 363-6318

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
#535
Worcester, MA 01608
Phone (508) 363-5189

123 Summer St
#695
Worcester, MA 01608
Phone (508) 363-9030

Practitioners & affiliated clinicians

Practitioners 515

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1013997329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11760",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154008",
            "telephone_number": "800-328-9381",
            "fax_number": "866-217-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 279",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6040",
            "fax_number": "508-636-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TPR TENET",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736701",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.