Organization Active NPI

Regal Medical Group

  • Family Medicine Physician
  • Worcester, MA
National Provider Identifier
1548079080
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGAL MEDICAL GROUP
Practice address
255 Park Ave Ste 400
Worcester, MA 01609-1989
Phone
(508) 755-9776
Fax
(508) 793-0715
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Al Nawab
Title
Director
Phone
(508) 925-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

255 Park Ave Ste 400
Worcester, MA 01609-1989

Mailing address

255 Park Ave Ste 400
Worcester, MA 01609-1989
Phone (508) 755-9776

Other names 1

  • Webster Square Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regal Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

24 Lyman St
Ste 260
Westborough, MA 01581
Phone (508) 870-1800

255 Park Ave
Ste 400
Worcester, MA 01609
Phone (508) 755-7272

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1548079080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 400",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091989",
            "telephone_number": "508-755-9776",
            "fax_number": "508-831-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 400",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091989",
            "telephone_number": "508-755-9776",
            "fax_number": "508-793-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "NAWAB",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-925-0073"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Square Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Webster Square Medical Center",
            "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 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.