Organization Active NPI

Nauset Family Practice LLC

  • Family Medicine Physician
  • Orleans, MA
National Provider Identifier
1760411482
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
75731 Issued in MA
Legal business name
NAUSET FAMILY PRACTICE LLC
Practice address
81 Old Colony Way Ste D
Orleans, MA 02653-3278
Phone
(508) 240-1141
Fax
(508) 240-3031
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Dr. John Reynolds, M.D.NPI 1881787984
Title
Physician-Co-Owner
Phone
(508) 240-1141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 75731 MA Primary

Addresses

Primary practice location

81 Old Colony Way Ste D
Orleans, MA 02653-3278

Mailing address

81 Old Colony Way Ste D
Orleans, MA 02653-3278
Phone (508) 240-1141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000360 MA Part B Supplier - Clinic/Group Practice 9739074261 Receives reassigned benefits from 5 practitioners
Practice locations: Orleans, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1030458Nauset Family Practice LLC81 Old Colony Way, Orleans, MA 02653Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

81 Old Colony Way
Ste D
Orleans, MA 02653
Phone (508) 240-1141

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1760411482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 OLD COLONY WAY STE D",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533278",
            "telephone_number": "508-240-1141",
            "fax_number": "508-240-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 OLD COLONY WAY STE D",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533278",
            "telephone_number": "508-240-1141",
            "fax_number": "508-240-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUSET FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN-CO-OWNER",
        "authorized_official_telephone_number": "508-240-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "75731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.

Verify at the official NPI Registry.