Active NPI
Sushrut Madhukar Ingawale, MD
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1396434403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1027641
- Practice address
- 75 Francis St
Boston, MA 02115-6110 - Phone
- (617) 732-5500
- NPI assigned
- May 4, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1027641 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115-6110
Mailing address
2800 Main Street
Dept of Medicine
Bridgeport, CT 06606
Phone (475) 210-5425
Other practice location 1
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000
Other practice location 2
2800 Main Street
Dept of Medicine
Bridgeport, CT 06606
Phone (475) 210-5425
Other practice location 3
55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-3874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- singawale641402@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1396434403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MAIN STREET",
"address_2": "DEPT OF MEDICINE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06606",
"telephone_number": "475-210-5425",
"fax_number": "475-210-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [
{
"address_1": "1153 Centre St",
"address_purpose": "LOCATION",
"city": "Jamaica Plain",
"state": "MA",
"postal_code": "021303446",
"country_code": "US",
"telephone_number": "617-983-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Main Street",
"address_2": "Dept of Medicine",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "06606",
"country_code": "US",
"telephone_number": "475-210-5425",
"fax_number": "475-210-5022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-724-3874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGAWALE",
"first_name": "SUSHRUT",
"middle_name": "MADHUKAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-04",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "1027641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.