Organization Active NPI

Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1760445373
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110000045AMedicaidMA

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, DC24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

View all 3,772

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

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.

Verify at the official NPI Registry.