Active NPI
Sujitha Amalanayagam
- Hospitalist Physician
- Methuen, MA
National Provider Identifier
1639619190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 282639
- Practice address
- 70 East St
Methuen, MA 01844-4597 - Phone
- (978) 687-0151
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 282639 | MA | Primary |
Addresses
Primary practice location
70 East St
Methuen, MA 01844-4597
Mailing address
99 Galen St
Watertown, MA 02472-4512
Other practice location 1
120 Hobart St
Residency Program
Utica, NY 13501-4308
Phone (315) 801-1149
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200831000748 | MA | Practitioner - Family Practice | 5092132431 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Medical Associates
Practice addresses (Care Compare)
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
- South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282639 | MA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Coastal Medical Associates | Hospitalist | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| South Shore Hospital Inc. | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
70 East St
Methuen, MA 01844
Phone (978) 682-1906
9 Galen St
Watertown, MA 02472
Phone (617) 562-5413
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Organizations & group practices 4
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.
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
Hospital & facility affiliations 1
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": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1639619190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 GALEN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724512",
"fax_number": "857-304-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 EAST ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444597",
"telephone_number": "978-687-0151"
}
],
"practiceLocations": [
{
"address_1": "120 Hobart St",
"address_2": "Residency Program",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135014308",
"country_code": "US",
"telephone_number": "315-801-1149",
"fax_number": "315-801-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMALANAYAGAM",
"first_name": "SUJITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "282639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.