Renaissance Family Medicine of Wellesley LLC
NPI 1962826354ActiveOrganization· Family Medicine· Wellesley, MA
Family Medicine in Wellesley, Massachusetts, registered in NPPES in February 2014. The authorized official on file is Geoffrey M. Burns, M.D., Sole Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962826354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2014 |
| Last updated in NPPES | Feb 14, 2024 |
| Certified by provider | Feb 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 155576 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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