Individual provider Active NPI

Pratik Rohatgi, M.D.

  • Neurological Surgery Physician
  • Boston, MA
National Provider Identifier
1669765426
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
279672 Issued in MA
Practice address
725 Albany St
Shapiro 7 Ste C
Boston, MA 02118
Phone
(617) 638-8992
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 279672 MA Primary
Neurological Surgery Physician 207T00000X A155671 CA
Neurological Surgery Physician 207T00000X MT199195 PA

Addresses

Primary practice location

725 Albany St
Shapiro 7 Ste C
Boston, MA 02118

Mailing address

720 Harrison Ave # Dob503
Boston, MA 02118-2371

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521

Other practice location 2

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521

Other practice location 3

300 Stein Plaza Suite 562
Los Angeles, CA 90095-2360
Phone (310) 825-5111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716003151 MA Practitioner - Neurosurgery 5193080349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston University Neurosurgical Associates IncGroup PAC ID 7618876798, 11 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8992

3119 Cranberry Hwy
East Wareham, MA 02538-4840
Phone (508) 759-5411

725 Albany St
Suite 7C
Boston, MA 02118-3549
Phone (617) 638-8992

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155671CAMDNeurological Surgery Physician
279672MAMDNeurological Surgery Physician
MT199195PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Neurosurgical Associates, Inc. Neurological Surgery CurrentSince Aug 15, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Boston Medical Center Corporation Past Accepting new patients

Locations

725 Albany St
Ste C
Boston, MA 02118
Phone (617) 638-8992

725 Albany St
Ste 7C
Boston, MA 02118
Phone (617) 638-8992

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

Interoperability endpoints

  • Direct secure messaging: prohatgi118973@direct.bmc.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1669765426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE # DOB503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST",
            "address_2": "SHAPIRO 7 STE C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stein Plaza Suite 562",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900952360",
            "country_code": "US",
            "telephone_number": "310-825-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHATGI",
        "first_name": "PRATIK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "279672",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A155671",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MT199195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.