Organization Active NPI

Primary Physician Partners P.C

Doing business as Primary Physician Partners

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1518971860
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY PHYSICIAN PARTNERS P.C
Doing business as
Primary Physician Partners
Practice address
123 Summer St
Suite 385N
Worcester, MA 01608-1216
Phone
(508) 363-7300
Fax
(508) 363-9688
NPI assigned
Jul 29, 2006
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Ms. Kelly Ann Wilson
Title
Billing Manager
Phone
(508) 363-7707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MA
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

123 Summer St
Suite 385N
Worcester, MA 01608-1216

Mailing address

PO Box 2793
Worcester, MA 01613-2793
Phone (508) 363-7300

Other identifiers 4

IdentifierTypeStateIssuer
3101347MedicaidMA
41834OtherNETWORK
691558OtherTUFTS
M18243OtherBCBS

Other names 1

  • Primary Physician Partners Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000061 MA Part B Supplier - Clinic/Group Practice 4688560469 Receives reassigned benefits from 3 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

123 Summer St
Ste 385N
Worcester, MA 01608
Phone (508) 363-7300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIBAA

Practitioners & affiliated clinicians

Practitioners 5

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1518971860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2793",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016132793",
            "telephone_number": "508-363-7300",
            "fax_number": "508-363-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "SUITE 385N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-7300",
            "fax_number": "508-363-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PHYSICIAN PARTNERS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "508-363-7707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101347",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK",
            "identifier": "41834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "691558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Physician Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.