Active NPI
Umass Memorial Medical Group Inc
- Internal Medicine Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UMASS MEMORIAL MEDICAL GROUP INC
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-1000
- NPI assigned
- Apr 7, 2006
- Last updated
- Dec 22, 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
- Ms. Maureen Bresee-Ferreira
- Title
- SVP/Coo
- Phone
- (774) 442-1520
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Social Worker | 104100000X | NU | ||
| Transplant Surgery Physician | 204F00000X | NU | ||
| Anesthesiology Physician | 207L00000X | NU | ||
| Emergency Medicine Physician | 207P00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Otolaryngology Physician | 207Y00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Attn: Provider Enrollment Department
Boston, MA 02241-5348
Phone (508) 334-8015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110000045A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT, CO, NH, RI, ME, NJ, FL, MD, NY, OR, CA, AZ, GA, MS, MI, VA, PA, IL, NC, MN, MO, KS, DC
Enrollment records 24
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000267 | MA | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 3,264 practitioners 1 other NPI on this enrollment |
| O20040727000659 | CT | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Canton, CT; Putnam, CT; Vernon Rockville, CT |
| O20220930001418 | CO | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 2 practitioners Practice locations: Denver, CO; Carbondale, CO |
| O20221221001243 | NH | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Bedford, NH; Dover, NH |
| O20230105000062 | RI | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Barrington, RI |
| O20230124000420 | ME | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Cumberland Foreside, ME; Falmouth, ME; Wells, ME; York, ME |
| O20230222000139 | NJ | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Princeton, NJ; Tenafly, NJ |
| O20240109001300 | FL | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Satellite Beach, FL; Rockledge, FL; Fort Pierce, FL; Daytona Beach, FL; Punta Gorda, FL; Boca Raton, FL |
| O20240222004237 | MD | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Brookeville, MD; Owings Mills, MD; Severn, MD; West Friendship, MD |
| O20240228001769 | NY | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Eastchester, NY |
| O20240319000989 | OR | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Corvallis, OR |
| O20240319003483 | CA | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Los Angeles, CA; San Marcos, CA; Hanford, CA; Beverly Hills, CA; Claremont, CA |
| O20240320002308 | AZ | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Peoria, AZ |
| O20240327002851 | GA | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Atlanta, GA; McDonough, GA |
| O20240402002591 | MS | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Corinth, MS |
| O20240409001723 | MI | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Royal Oak, MI; Troy, MI |
| O20240417001154 | VA | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Ashburn, VA |
| O20240511000080 | PA | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Clarks Summit, PA; Holland, PA; Merion Station, PA; Spring Grove, PA |
| O20260325001974 | IL | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 3 practitioners Practice locations: Chicago, IL; Lake Forest, IL; Oak Brook, IL |
| O20260326000823 | NC | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 2 practitioners Practice locations: Durham, NC; Sanford, NC |
| O20260409000606 | MN | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner Practice locations: Stillwater, MN |
| O20260429002031 | MO | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Kansas City, MO; Saint Louis, MO |
| O20260520000807 | KS | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner Practice locations: Leawood, KS |
| O20260624001166 | DC | Part B Supplier - Clinic/Group Practice | 4284539891 |
Receives reassigned benefits from 1 practitioner Practice locations: Silver Spring, MD |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
O20040113000267, O20040727000659, O20221221001243, O20230105000062, O20230124000420, O20230222000139, O20240109001300, O20240222004237, O20240228001769, O20240319000989, O20240319003483, O20240320002308, O20240327002851, O20240402002591, O20
National Provider Directory
National Provider DirectoryLocations
61 N Main St
Charlton, MA 01507
Phone (508) 248-1745
201 Highland St
Ste B
Clinton, MA 01510
Phone (978) 368-3731
76 Summer St
Fitchburg, MA 01420
Phone (978) 342-6018
1280 W Central St
Ste 102
Franklin, MA 02038
Phone (508) 541-2199
198 Ayer Rd
Harvard, MA 01451
Phone (978) 456-2355
1 Lumber St
Ste 101
Hopkinton, MA 01748
Phone (508) 625-3535
155 Union St
Marlborough, MA 01752
Phone (508) 481-0200
159 Union St
Ste 103
Marlborough, MA 01752
Phone (508) 485-0801
340 Maple St
Ste 300
Marlborough, MA 01752
Phone (508) 481-0202
650 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 597-3550
225 Leominster Rd
Sterling, MA 01564
Phone (978) 422-6900
188 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 865-3650
242 Woodland St
West Boylston, MA 01583
Phone (508) 835-6221
1 W Boylston St
Worcester, MA 01605
116 Belmont St
Rm 11
Worcester, MA 01605
Phone (508) 334-1102
21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419
67 Belmont St
Worcester, MA 01605
Phone (508) 334-8996
Practitioners & affiliated clinicians
Practitioners 3,772
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.
-
- Orthopaedic Surgery Physician
- Worcester, MA
- NPI 1518184605
-
- Neurology Physician
- Leominster, MA
- NPI 1992798797
-
- Nurse Practitioner
- Franklin, MA
- NPI 1770892630
-
- Nurse Practitioner
- Worcester, MA
- NPI 1326645300
-
- Nephrology Physician
- Worcester, MA
- NPI 1992854707
-
- Family Nurse Practitioner
- Milford, MA
- NPI 1235591447
-
- Geriatric Medicine (Internal Medicine) Physician
- Worcester, MA
- NPI 1104441229
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1043876634
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1881157444
-
- Nurse Practitioner
- Fitchburg, MA
- NPI 1669938981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1760445373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"address_2": "ATTN: PROVIDER ENROLLMENT DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "508-334-8015",
"fax_number": "508-334-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMASS MEMORIAL MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "BRESEE-FERREIRA",
"authorized_official_first_name": "MAUREEN",
"authorized_official_title_or_position": "SVP/COO",
"authorized_official_telephone_number": "774-442-1520",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110000045A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Umass Memorial Medical Center, Inc.
- Umass Memorial Medical Center, Inc. (UMass Memorial Home Health)
- Umass Memorial Medical Center, Inc.
- Umass Memorial Medical Center, Inc. (UMass Memorial Medical Center Specialty Pharmacy)
- Umass Memorial Medical Center, Inc. (Prescription Center Pharmacy)
- Umass Memorial Medical Group, Inc.
- Umass Memorial MRI & Imaging Center LLC (Shields MRI at UMass Memorial)
- Umass Memorial MRI & Imaging Center, LLC
- Umass Memorial MRI & Imaging Center, LLC (UMass Memorial MRI Center)
- Umass Memorial MRI & Imaging Center, LLC (UMass Memorial MRI Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.