Rumali S. Medagoda, M.D.

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

291617 Issued in MA

Practice address

Central Mass Allergy
425 N Lake Ave Ste 201
Worcester, MA 01605-0160

Phone

(508) 757-1589

Fax

(508) 756-5633

NPI assigned

Jan 30, 2007

Last updated

May 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Berkshire Allergy Care PCGroup PAC ID 3678865938, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkshire Allergy Care, P.C.

  • Allergy & Immunology Physician
  • Pittsfield, MA
  • NPI 1033328786
  Medicare reassignment Care Compare group NPD
• Ahs Oklahoma Physician Group LLC

  dba Utica Park Clinic

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1396882536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRAL MASS ALLERGY",
            "address_2": "425 N LAKE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016055702",
            "telephone_number": "508-757-1589",
            "fax_number": "918-307-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL MASS ALLERGY",
            "address_2": "425 N LAKE AVE STE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016050160",
            "telephone_number": "508-757-1589",
            "fax_number": "508-756-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDAGODA",
        "first_name": "RUMALI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "24097",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MA",
            "license": "291617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Philip Meade
• Meadowbrook Care Center LLC
• Jennifer Lynn Meadows, BCBA
• Emily Meara, MD
• Rachael Measer, LICSW, MSW
• Sandra Medakovich, NP
• Peter Medawar
• Jennifer Medeiros, PT
• Paul Michael Medeiros, OTR/L
• Medi-Rents, Inc (Praxair Healthcare Services)

• Pediatric Allergy/Immunology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Pediatric Allergy/Immunology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.