Vernon Integrative Medical Group LLC
NPI 1114175627 · Internal Medicine Physician · Worcester, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vernon Integrative Medical Group LLC is a Internal Medicine Physician organization in Worcester, MA (NPI 1114175627).
Provider details
- NPI number
- 1114175627
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Trister, MD Internal Medicine(508) 754-9950
- License
- 80587 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-09
- Last updated
- 2012-09-20
Frequently asked questions
- What is Vernon Integrative Medical Group LLC's NPI number?
- Vernon Integrative Medical Group LLC's National Provider Identifier (NPI) is 1114175627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vernon Integrative Medical Group LLC?
- Vernon Integrative Medical Group LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vernon Integrative Medical Group LLC located?
- Vernon Integrative Medical Group LLC's practice location on file with NPPES is 10 Winthrop St, Worcester, MA 01604.
- What is Vernon Integrative Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Vernon Integrative Medical Group LLC is (508) 754-9950.
- Does Vernon Integrative Medical Group LLC accept Medicare?
- Vernon Integrative Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vernon Integrative Medical Group LLC?
- The authorized official listed on Vernon Integrative Medical Group LLC's NPPES record is Jon Trister, MD Internal Medicine. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vernon Integrative Medical Group LLC's NPI active?
- Yes — Vernon Integrative Medical Group LLC's NPI (1114175627) is active in the NPPES registry as of the last update on 2012-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.