Active NPI
Value in Prevention of Massachusetts, LLC
- Family Medicine Physician
- West Yarmouth, MA
National Provider Identifier
1689175846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VALUE IN PREVENTION OF MASSACHUSETTS, LLC
- Practice address
- 349 Route 28 Ste a
West Yarmouth, MA 02673-4620 - Phone
- (508) 394-2017
- Fax
- (508) 398-6680
- NPI assigned
- Feb 23, 2018
- 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
- Andrea Klemes, DO
- Title
- Manager
- Phone
- (561) 982-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
349 Route 28 Ste a
West Yarmouth, MA 02673-4620
Mailing address
4950 Communication Ave Ste 100
Boca Raton, FL 33431-3308
Phone (561) 400-2713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180514002582 | MA | Part B Supplier - Clinic/Group Practice | 6406110774 |
Receives reassigned benefits from 3 practitioners Practice locations: Wayland, MA; West Yarmouth, MA |
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 |
|---|---|---|---|
| 22D2150063 | Value in Prevention of Massachusetts, LLC | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
241 Boston Post Rd
Ste 3B
Wayland, MA 01778
Phone (508) 318-1370
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- West Yarmouth, MA
- NPI 1831359637
Family Medicine, MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1689175846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 COMMUNICATION AVE STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334313308",
"telephone_number": "561-400-2713",
"fax_number": "561-953-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 ROUTE 28 STE A",
"city": "WEST YARMOUTH",
"state": "MA",
"postal_code": "026734620",
"telephone_number": "508-394-2017",
"fax_number": "508-398-6680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE IN PREVENTION OF MASSACHUSETTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-23",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "KLEMES",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-982-4300",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.