Sushobhit Poudyal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

15 Corporate Park Dr
Pembroke, MA 02359-1966

Phone

(781) 826-8065

NPI assigned

Nov 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mass General Brigham Medical Group Suburban Massachusetts IncGroup PAC ID 0244133494, 534 clinicians

Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
• Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
• Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
• Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: poudyal.sushobhit.bwh@direct.partners.masshiway.net

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.

• Harbor Medical Associates, Inc.

  • Cardiovascular Disease Physician
  • South Weymouth, MA
  • NPI 1124079561
  Medicare reassignment Care Compare group NPD
• Mass General Brigham Medical Group Suburban Massachusetts Inc

  • Family Medicine Physician
  • Newton, MA
  • NPI 1538191218
  Medicare reassignment Care Compare group NPD
• Brigham and Women'S Hospital

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1093885816
  NPD
• Harbor Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • S. Weymouth, MA
  • NPI 1689909723
  NPD

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

• South Shore Hospital Inc.

  • Home Health Agency
  • Braintree, MA
  • NPI 1669558474
  Care Compare affiliation Name & address match
• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650
  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811
  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  Care Compare affiliation
• Rehabilitation Hospital of the Cape and Islands, Corporation

  • Rehabilitation Hospital
  • E Sandwich, MA
  • NPI 1265489736

  Inpatient rehabilitation facility

  Care Compare affiliation
• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1366265258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BISHOP RD # 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PARK DR",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591966",
            "telephone_number": "781-826-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUDYAL",
        "first_name": "SUSHOBHIT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pembroke Nursing & Home Care
• Penning for Hope
• Paulo Pereira, RPH
• Perikymata, PLLC
• Patrick Charles Perry, DENTAL ASSISTANT
• PPC Medical Infusion Centers
• Dorothy Prince
• Paula Marie Purcell, RN
• Larry Quemere, CHT
• Jennifer Rae, DPT

• Physician Assistant in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.

Verify at the official NPI Registry.