NPIMap

Individual provider Active NPI

Suresh Mamidala, M.D

  • Internal Medicine Physician
  • Southbridge, MA
National Provider Identifier
1437394350
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241829 Issued in MA
Practice address
100 South St.
Southbridge, MA 01550
Phone
(508) 764-9771
NPI assigned
Dec 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241829 MA Primary

Addresses

Primary practice location

100 South St.
Southbridge, MA 01550

Mailing address

123 Summer Street
Worcester, MA 01608
Phone (508) 363-5000

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
I20091107000053 MA Practitioner - HospitalistPractitioner - Internal Medicine 4486792744 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians
Curana Health of Massachusetts LLCGroup PAC ID 4688967763, 85 clinicians
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

100 S St
Southbridge, MA 01550-4051
Phone (508) 765-9771

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Curana Health of Massachusetts LLC Internal Medicine CurrentSince Jan 20, 2026 Accepting new patients
Marlborough Hospitalist Group, PLLC CurrentSince Jan 10, 2026 Accepting new patients
CH Specialty Services Ma PC Internal Medicine CurrentSince Jan 20, 2026 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Umass Memorial Health-Harrington Hospital Inc Past Accepting new patients
Cogent Healthcare of Brockton PC Internal Medicine Past Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1437394350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "508-363-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST.",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "01550",
            "telephone_number": "508-764-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMIDALA",
        "first_name": "SURESH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "241829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.