Active NPI
Lotus Primary Care PLLC
- Family Medicine Physician
- Brewster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LOTUS PRIMARY CARE PLLC
- Practice address
- 125 Underpass Rd
Brewster, MA 02631-1810 - Phone
- (508) 625-6963
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Libby, DO
- Title
- Owner
- Phone
- (508) 625-6963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU |
Addresses
Primary practice location
125 Underpass Rd
Brewster, MA 02631-1810
Mailing address
125 Underpass Rd
Brewster, MA 02631-1810
Phone (508) 625-6963
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2336341 | Lotus Primary Care, PLLC | Certificate of waiver | Dec 30, 2027 |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Brewster, MA
- NPI 1538421938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1174436430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 UNDERPASS RD",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026311810",
"telephone_number": "508-625-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 UNDERPASS RD",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026311810",
"telephone_number": "508-625-6963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "LIBBY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-625-6963",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.