Active NPI
Worcester Family Practice, Inc
- Internal Medicine Physician
- Worcester, MA
National Provider Identifier
1750399358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WORCESTER FAMILY PRACTICE, INC
- Practice address
- 116 Belmont St
Unit 24
Worcester, MA 01605-2964 - Phone
- (508) 770-1602
- Fax
- (508) 770-1605
- NPI assigned
- Aug 3, 2006
- Last updated
- Sep 11, 2025
- 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
- Punyamurtula S Kishore, MD
- Title
- President
- Phone
- (617) 738-4640
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
116 Belmont St
Unit 24
Worcester, MA 01605-2964
Mailing address
59 Temple PL
Suite 612
Boston, MA 02111-1307
Phone (617) 264-9764
National Provider Directory
National Provider DirectoryLocations
116 Belmont St
Rm 24
Worcester, MA 01605
Phone (508) 770-1602
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Brighton, MA
- NPI 1134263825
-
- Addiction Medicine (Internal Medicine) Physician
- Pocasset, MA
- NPI 1700829058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1750399358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 TEMPLE PL",
"address_2": "SUITE 612",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111307",
"telephone_number": "617-264-9764",
"fax_number": "617-264-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BELMONT ST",
"address_2": "UNIT 24",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052964",
"telephone_number": "508-770-1602",
"fax_number": "508-770-1605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORCESTER FAMILY PRACTICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KISHORE",
"authorized_official_first_name": "PUNYAMURTULA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-738-4640",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Worcester Endodontics, PLLC
- Worcester Eye Consultants, PC
- Worcester Family Chiropractic, PLLC
- Worcester Family Dental PC
- Worcester Family Pharmacy, Inc.
- Worcester Gastroenterology Partners Inc (Worcester Gastroenterology Partners)
- Worcester Health and Rehabilitation Center LLC (Union Hill Rehabilitation and Nursing Center)
- Worcester Health Center, LLC (Worcester Health Center)
- Worcester Health Group, LLC (Lutheran Rehabilitation and Skilled Care Center)
- Worcester Hills Dental PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.