Private Health Care Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIVATE HEALTH CARE GROUP, LLC

Practice address

70 Hastings St
Wellesley, MA 02481-5439

Phone

(781) 772-5500

Fax

(781) 772-5600

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Karen Theo Isselbacher,, M.DNPI 1508822867

Title

Owner and Chief Executive Officer

Phone

(617) 875-3223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: perillo.amanda.exhmd@direct.partners.masshiway.net
• Direct secure messaging: isselbacher.karen.exhmd@direct.partners.masshiway.net

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Theo Isselbacher, MD

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1508822867

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD Authorized official
• Daniel P. Gaposchkin, M.D/PH.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1821194879

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Christine M Harrington, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1306951363

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Kevin J Heaton, MD

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1255771804

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Li Tso, M.D.

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1467443150

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Julie S Coffey, NP

  • Adult Health Nurse Practitioner
  • Wellesley, MA
  • NPI 1023249190

  MA

  Medicare reassignment NPD
• Nancy C Haff, MD

  • Internal Medicine Physician
  • Wellesley, MA
  • NPI 1922411867

  Internal Medicine, MA

  Medicare reassignment NPD
• Alicia M Herlihy, FNP

  • Family Nurse Practitioner
  • Boston, MA
  • NPI 1689350217

  MA

  Medicare reassignment NPD
• Amanda Noele Perillo, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1033554241

  MA

  Medicare reassignment

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1053680108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-772-5500",
            "fax_number": "781-772-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-772-5500",
            "fax_number": "781-772-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE HEALTH CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ISSELBACHER,",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "THEO",
        "authorized_official_title_or_position": "OWNER AND CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-875-3223",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anhthy Trinh Prendeville, O.D.
• Primary Care Pediatrics
• Alex T Prior, LICSW
• Patricia A Prior, MSW
• Stephen Prior, PSY.D.
• Privy Homecare Services, LLC
• Professional Pharmacy
• Promise Integrative Medicine Clinic
• Rachael Elizabeth Pulsone, DPT
• Dianne Quibell, M.D.

• All providers in Wellesley, MA
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.