Organization Active NPI

Personal Physicians Healthcare PC

  • Internal Medicine Physician
  • Wellesley, MA
National Provider Identifier
1942405782
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PERSONAL PHYSICIANS HEALTHCARE PC
Practice address
110 Worcester Street
Suite 301
Wellesley, MA 02481
Phone
(617) 731-0058
Fax
(617) 731-0825
NPI assigned
Jun 20, 2007
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Julie K Pivor
Title
Executive Director
Phone
(617) 731-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

110 Worcester Street
Suite 301
Wellesley, MA 02481

Mailing address

110 Worcester Street
Suite 301
Wellesley, MA 02481
Phone (617) 731-0058

Other identifiers 5

IdentifierTypeStateIssuer
688727OtherMATUFTS
1033158563OtherMADR BUSCH INDIV NPI
1013905751OtherMADR STEVEN R FLIER NPI
M17961OtherMABCBS
1699763482OtherMADR CORLISS INDIV NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000356 MA Part B Supplier - Clinic/Group Practice 7012988264 Receives reassigned benefits from 7 practitioners
Practice locations: Wellesley, 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
22D1017292Personal Physicians Healthcare PC110 Worcester Street, Suite 301, Wellesley, MA 02481Provider-performed microscopyMay 4, 2028

National Provider Directory

National Provider Directory

Locations

1244 Boylston St
Ste 306
Chestnut Hill, MA 02467
Phone (617) 731-0058

110 Worcester St
Ste 301
Wellesley Hills, MA 02481
Phone (617) 731-0058

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1942405782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WORCESTER STREET",
            "address_2": "SUITE 301",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "617-731-0058",
            "fax_number": "617-731-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WORCESTER STREET",
            "address_2": "SUITE 301",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "617-731-0058",
            "fax_number": "617-731-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PHYSICIANS HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "PIVOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-731-0058"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "688727",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BUSCH INDIV NPI",
            "identifier": "1033158563",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR STEVEN R FLIER NPI",
            "identifier": "1013905751",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17961",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CORLISS INDIV NPI",
            "identifier": "1699763482",
            "state": "MA"
        }
    ],
    "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 Jan 2, 2026; 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.