Suhas Sreeharshan
Individual provider Active NPI Family Medicine Physician · Bolton, MA
NPI 1689179111 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1689179111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28617 (MA)
- Practice address
- 563 Main St
Bolton, MA 01740-1300 - Phone
- (978) 586-3939
- Fax
- (978) 586-3944
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
563 Main St
Suite 3
Bolton, MA 01740-1300
Phone (978) 586-3939
Hospital & facility affiliations
- Vna Care Network
- Caretenders
- Metrowest Homecare and Hospice, an Amedisys Company
- Care Central Vna & Hospice Inc
- Preferred Transitions Home Health Care Inc
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Medical Center/University Campus
- Marlborough Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909003318 | MA | Practitioner - Family Practice | 0840547642 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28617 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients |
Locations
151 Worcester Rd
Barre, MA 01005
Phone (978) 355-6321
563 Main St
Ste 3
Bolton, MA 01740
Phone (978) 586-3939
281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015
281 Lincoln St
#2212A
Worcester, MA 01605
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28617 | MA | Yes |
Addresses
Primary practice location
563 Main St
Bolton, MA 01740-1300
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other providers in Bolton, MA
- Kathryn Romeo
- Kathyn Ruberti
- Michael Schlewet
- Rebecca Gabrielle Schlosberg
- Lacey Marie Sellati
- Alyson Kate Suduiko
- Wendy Robin Sullivan
- Samantha N Sundermeyer
- The Healing Tree, LLC
- TMJ & Sleep Therapy Centre of New England
All providers in Bolton, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.