NPIMap

Organization Active NPI

Wellesley Family Care Associates, PC

  • Family Medicine Physician
  • Wellesley, MA
National Provider Identifier
1902056310
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLESLEY FAMILY CARE ASSOCIATES, PC
Practice address
173 Worcester St
Wellesley, MA 02481-5521
Phone
(781) 235-7900
Fax
(781) 237-9930
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
David P. Chodirker, M.D.NPI 1972504504
Title
President
Phone
(781) 235-7900

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 Primary

Addresses

Primary practice location

173 Worcester St
Wellesley, MA 02481-5521

Mailing address

173 Worcester St
Wellesley, MA 02481-5521
Phone (781) 235-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090309000562 MA Part B Supplier - Clinic/Group Practice 5991861411 Receives reassigned benefits from 25 practitioners
Practice locations: Needham, MA

National Provider Directory

National Provider Directory

Locations

145 Rosemary St
Ste D
Needham Heights, MA 02494
Phone (781) 453-8500

Interoperability endpoints

  • Direct secure messaging: chodirker.david.fca@direct.partners.masshiway.net
  • Direct secure messaging: raymond.david.fca@direct.partners.masshiway.net
  • Direct secure messaging: schwartz.jennifer.fca@direct.partners.masshiway.net
  • Direct secure messaging: franklin.alana.fca@direct.partners.masshiway.net
  • Direct secure messaging: snider.jonathan.fca@direct.partners.masshiway.net
  • Direct secure messaging: trapasso.nimmi.fca@direct.partners.masshiway.net
  • Direct secure messaging: snider.jennifer.fca@direct.partners.masshiway.net
  • Direct secure messaging: phillips.jeffrey.fca@direct.partners.masshiway.net
  • Direct secure messaging: levesque.colleen.fca@direct.partners.masshiway.net
  • Direct secure messaging: beaumier.wendy.fca@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1902056310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815521",
            "telephone_number": "781-235-7900",
            "fax_number": "781-237-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815521",
            "telephone_number": "781-235-7900",
            "fax_number": "781-237-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY FAMILY CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "CHODIRKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-235-7900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.