Active NPI
Naveen C Pandaraboyina, MD
- Gastroenterology Physician
- Leominster, MA
National Provider Identifier
1073533485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 222879
- Practice address
- 50 Memorial Drive
Suite # 114
Leominster, MA 01453 - Phone
- (978) 466-4980
- Fax
- (978) 466-4022
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 222879 | MA | Primary |
Addresses
Primary practice location
50 Memorial Drive
Suite # 114
Leominster, MA 01453
Mailing address
50 Memorial Dr Ste 114
Leominster, MA 01453-2238
Phone (978) 466-4980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087103 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
50 Memorial Dr
Suite 114
Leominster, MA 01453-2238
Phone (978) 466-4980
Hospital & facility affiliations
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Medical Center/University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 156 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernard a Westerling III, MD, LLC | Past | Accepting new patients | |
| Coordinated Primary Care, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Leominster, MA
- NPI 1144408212
-
- Family Medicine Physician
- Fitchburg, MA
- NPI 1366606246
-
- Hospitalist Physician
- Leominster, MA
- NPI 1851623714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1073533485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MEMORIAL DR STE 114",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532238",
"telephone_number": "978-466-4980",
"fax_number": "978-466-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MEMORIAL DRIVE",
"address_2": "SUITE # 114",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-466-4980",
"fax_number": "978-466-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDARABOYINA",
"first_name": "NAVEEN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "222879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087103",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.