NPIMap

Individual provider Active NPI

Padmaja Parayath, MD

  • Specialist
  • Brockton, MA
National Provider Identifier
1174515183
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
51539 Issued in MA
Practice address
110 Liberty St
Brockton, MA 02301-5674
Phone
(508) 565-0025
Fax
(508) 894-0412
NPI assigned
Aug 16, 2005
Reactivated
Apr 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51539 MA
Specialist 174400000X 51539 MA Primary

Addresses

Primary practice location

110 Liberty St
Brockton, MA 02301-5674

Mailing address

110 Liberty St
Brockton, MA 02301-5674
Phone (508) 565-0025

Other identifiers 1

IdentifierTypeStateIssuer
3134148MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000962 MA Practitioner - Internal MedicinePractitioner - General Practice 3779547203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Hospital & facility affiliations

  • Sunset Hospice Hospice, Middleboro, MA, CCN 221619
  • Harborside Hospice of Massachusetts, LLC Hospice, Haverhill, MA, CCN 221606
  • Old Colony Hospice, Inc Hospice, W Bridgewater, MA, CCN 221514
  • Beacon Hospice, an Amedisys Company Hospice, Charlestown, MA, CCN 221544
  • Accentcare Hospice & Palliative Care of Massachuse Hospice, Norwood, MA, CCN 221578
  • Brockton Post Acute Care Nursing home, Brockton, MA, CCN 225690
  • St Joseph Manor Health Care Inc Nursing home, Brockton, MA, CCN 225414
  • The Center at Blue Hills Nursing home, Stoughton, MA, CCN 225444

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Baypointe Rehab Center, LLC Past Accepting new patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients
Brockton Operator LLC Past Accepting new patients
St. Joseph Manor Health Care, Inc. Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1 Pearl St
Brockton, MA 02301
Phone (508) 586-3600

110 Liberty St
Brockton, MA 02301

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

25 Warren St
Randolph, MA 02368
Phone (781) 986-7800

150 York St
Stoughton, MA 02072
Phone (781) 297-1101

150 York St
#N
Stoughton, MA 02072
Phone (781) 297-6782

Interoperability endpoints

  • Direct secure messaging: padamaja.parayath@direct.signature.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brockton Post Acute CareBrockton, MA, CCN 225690 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1174515183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015674",
            "telephone_number": "508-565-0025",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015674",
            "telephone_number": "508-565-0025",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAYATH",
        "first_name": "PADMAJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "51539",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "51539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134148",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.