Active NPI
Wilfrid Gerard Pitts, MD
- General Practice Physician
- Worcester, MA
National Provider Identifier
1629131701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 41247
- Practice address
- 10 Winthrop St
Worcester, MA 01604 - Phone
- (508) 757-5552
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 41247 | MA | Primary |
Addresses
Primary practice location
10 Winthrop St
Worcester, MA 01604
Mailing address
5 Linda Ave
Auburn, MA 01501
Phone (508) 832-3306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0188328 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629131701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LINDA AVE",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "508-832-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01604",
"telephone_number": "508-757-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "WILFRID",
"middle_name": "GERARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "41247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0188328",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.