Organization Active NPI

Adult Primary Care PLLC

  • Internal Medicine Physician
  • North Reading, MA
National Provider Identifier
1073287488
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADULT PRIMARY CARE PLLC
Practice address
21 Main St Ste 3B
North Reading, MA 01864-2286
Phone
(978) 664-4600
Fax
(888) 487-9741
NPI assigned
Aug 9, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Vasant R Patel, MDNPI 1811900442
Title
Physician
Phone
(781) 883-2962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

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
22D2317000Adult Primary Care PLLC21 Main Street, North Reading, MA 01864Certificate of waiverJan 15, 2027

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20211112001546 MA Part B Supplier - Clinic/Group Practice 3072902071 Receives reassigned benefits from 1 practitioner
Practice locations: North Reading, MA

National Provider Directory

National Provider Directory

Locations

21 Main St
Ste 2A
North Reading, MA 01864
Phone (978) 664-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25226/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

NPPES NPI Registry

Primary practice location

21 Main St Ste 3B
North Reading, MA 01864-2286

Mailing address

21 Main St Ste 2a
North Reading, MA 01864-2286
Phone (978) 664-4600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2021.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1073287488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST STE 2A",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642286",
            "telephone_number": "978-664-4600",
            "fax_number": "888-487-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST STE 3B",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642286",
            "telephone_number": "978-664-4600",
            "fax_number": "888-487-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VASANT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-883-2962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.