NPIMap

Organization Active NPI

Bayon Medical Group LLC

Doing business as Lowell Primary Care Center

  • Primary Care Clinic/Center
  • Lynn, MA
National Provider Identifier
1154866234
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
222926 Issued in MA
Legal business name
BAYON MEDICAL GROUP LLC
Doing business as
Lowell Primary Care Center
Lynn Primary Care Center
Practice address
280 Union St # 402
Lynn, MA 01901-1353
Phone
(781) 780-7755
Fax
(781) 598-0243
NPI assigned
Dec 28, 2016
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Vladimir Batrin, MSNPI 1174208037
Title
Practice Administrator
Phone
(857) 452-6356

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 222926 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

280 Union St # 402
Lynn, MA 01901-1353

Mailing address

280 Union St Ste 402
Lynn, MA 01901-1353
Phone (781) 780-7755

Other practice location 1

1075 Westford Street, Suite 204
1075 Westford Street, Suite 204
Lowell, MA 01851
Phone (978) 455-7992

Other identifiers 2

IdentifierTypeStateIssuer
110120791BMedicaidMA
110120791AMedicaidMA

Other names 3

  • Lowell Primary Care Center Doing business as
  • Lynn Primary Care Center Doing business as
  • Bayon Medical Group Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180416000481 MA Part B Supplier - Clinic/Group Practice 3779846241 Receives reassigned benefits from 9 practitioners
Practice locations: Lowell, MA; Lynn, MA

National Provider Directory

National Provider Directory
Tax ID family
Bayon Medical Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1075 Westford St
Ste 204
Lowell, MA 01851
Phone (978) 452-2000

25 Boston St
Lynn, MA 01904

280 Union St
#402
Lynn, MA 01901
Phone (781) 780-7755

280 Union St
Ste 402
Lynn, MA 01901
Phone (781) 780-7755

Practitioners & affiliated clinicians

Practitioners 11

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": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1154866234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 UNION ST STE 402",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-780-7755",
            "fax_number": "781-598-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION ST # 402",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-780-7755",
            "fax_number": "781-598-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Westford Street, Suite 204",
            "address_2": "1075 Westford Street, Suite 204",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "01851",
            "country_code": "US",
            "telephone_number": "978-455-7992",
            "fax_number": "978-221-6168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYON MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "BATRIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "857-452-6356",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "222926",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120791B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120791A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowell Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lynn Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lynn Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayon Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.