NPIMap

Organization Active NPI

Reliant Medical Group

  • Optometrist
  • Holden, MA
National Provider Identifier
1871846428
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RELIANT MEDICAL GROUP
Practice address
64 Boyden Rd
Holden, MA 01520-2570
Phone
(508) 856-9599
Fax
(508) 829-4988
NPI assigned
Oct 19, 2012
Last updated
Nov 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
RELIANT MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Tarek Elsawy, MD
Title
President & Ceo
Phone
(508) 852-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

64 Boyden Rd
Holden, MA 01520-2570

Mailing address

5 Neponset St
Worcester, MA 01606-2714

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
22D0862984Reliant Medical Group Holden64 Boyden Road, Holden, MA 01520Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
South Davis Comm Hosp I19 organizations share this tax ID, including this one
Part of
South Davis Comm Hosp I

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1871846428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BOYDEN RD",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202570",
            "telephone_number": "508-856-9599",
            "fax_number": "508-829-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT MEDICAL GROUP, INC",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "ELSAWY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "508-852-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.