Summit ElderCareSM – PACE Provider Organization, NPI 1376696674

Summit ElderCareSM is a healthcare provider. based in Worcester, Massachusetts. specializing in PACE Provider Organization. The organization holds a License No. 1803247 (MA). The NPI Number for Summit ElderCareSM is 1376696674

Main info

Organization
Name
Summit ElderCareSM
NPI
1376696674
Phone
(508) 368-9437
Address
10 CHESTNUT ST
Authorized Official
MR. CHARLES GOHEEN CHIEF FINANCIAL OFFICER
Enumeration Date
19 January 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Summit ElderCareSM

  • One Chestnut Place, 10, Chestnut Street, Downtown, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States

    WORCESTER, MA 016082898

    Phone: (508) 368-9437

    Fax: (508) 754-1931

    Type: Mailing

  • 277, East Mountain Street, Great Brook Valley, Worcester, Worcester County, Massachusetts, 01606, United States

    WORCESTER, MA 016061207

    Phone: (508) 852-2026

    Fax: (508) 856-7130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-03-31 (72 days ago).

Enrollment records

1

Earliest due date

2026-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210329000950OMass Immunization (Roster Biller Only)MA2026-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01608)

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Reviews

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Frequently asked questions

Can I cross-check Summit ElderCareSM using NPI 1376696674?
NPI 1376696674 belongs to Summit ElderCareSM; compare other details if you need extra assurance.
Is Summit ElderCareSM shown as active in public data?
Registry records indicate Summit ElderCareSM maintains an active NPI.
How would a patient describe Summit ElderCareSM's focus?
For Summit ElderCareSM, the primary taxonomy reads as PACE Provider Organization. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Summit ElderCareSM?
Travel planning: use Worcester, Massachusetts as the reference point for Summit ElderCareSM, then confirm.
When was this NPI issued?
Enumeration for Summit ElderCareSM is noted as January 19, 2007 where the registry provides it.

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