NPIMap

Organization Active NPI

Igc III PLLC

  • Gastroenterology Physician
  • Lowell, MA
National Provider Identifier
1053010694
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
IGC III PLLC
Practice address
41 Wellman St Ste 400
Lowell, MA 01851-5161
Phone
(978) 459-6737
Fax
(855) 818-1869
NPI assigned
Mar 2, 2023
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED GASTROENTEROLOGY CONSULTANTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Kelly Lambrese
Title
Cxo
Phone
(401) 359-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

41 Wellman St Ste 400
Lowell, MA 01851-5161

Mailing address

PO Box 986525
Boston, MA 02298-6525
Phone (978) 459-6737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415001992 MA Part B Supplier - Clinic/Group Practice 6305285032 Receives reassigned benefits from 2 practitioners
Practice locations: Lowell, MA

National Provider Directory

National Provider Directory
Part of
Integrated Gastroenterology

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1053010694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986525",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986525",
            "telephone_number": "978-459-6737",
            "fax_number": "855-818-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WELLMAN ST STE 400",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515161",
            "telephone_number": "978-459-6737",
            "fax_number": "855-818-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGC III PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC",
        "enumeration_date": "2023-03-02",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "LAMBRESE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CXO",
        "authorized_official_telephone_number": "401-359-2300"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.