Renaissance Family Medicine of Wellesley LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

155576 Issued in MA

Legal business name

RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC

Practice address

332 Washington Street
200
Wellesley, MA 02481-6217

Phone

(781) 235-4088

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey M Burns, M.D.NPI 1700873130

Title

Sole Proprietor

Phone

(781) 235-4088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8897/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Geoffrey Michael Burns, M.D.

  • Family Medicine Physician
  • Wellesley Hills, MA
  • NPI 1700873130
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Vinitsky, FNP

  • Family Nurse Practitioner
  • Wellesley Hills, MA
  • NPI 1295420180
  Medicare reassignment Care Compare group NPD
• Michelle Marie Master, MD

  • Family Medicine Physician
  • Newton, MA
  • NPI 1609166339
  Medicare reassignment NPD

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1962826354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON STREET",
            "address_2": "200",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816217",
            "telephone_number": "781-235-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON STREET",
            "address_2": "200",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816217",
            "telephone_number": "781-235-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "781-235-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "155576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recreational Behavior Therapy and Respite LLC
• Naomi Reed
• Michael Reinhorn, M.D.
• Jennifer Reinzo
• Tania Bello Remole
• Dianne T. Reynolds
• Jeri Ricci
• Jill Ricci
• Linda Rice
• Richard H Stellar Edd PC

• Family Medicine Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.