Individual provider Active NPI

Sujatha S. Rajan, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Woburn, MA
National Provider Identifier
1710962543
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
216213 Issued in MA
Practice address
800 W. Cummings Park
#2250
Woburn, MA 01801
Phone
(781) 460-2120
Fax
(781) 460-2123
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 216213 MA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 216213 MA Primary
Obstetrics & Gynecology Physician 207V00000X 216213 MA

Addresses

Primary practice location

800 W. Cummings Park
#2250
Woburn, MA 01801

Mailing address

800 W. Cummings Park
#2550
Woburn, MA 01801
Phone (781) 460-2120

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
I20040216000726 MA Practitioner - Obstetrics/Gynecology 0042105421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Cummings Park
Suite 2550
Woburn, MA 01801-6389
Phone (781) 460-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.66 of 100Reported as individual
Quality
88.33
Improvement activities
40
Cost
67.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216213MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New England Urogynecology P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2011 Accepting new patients
Neugyn-Winpho Inc Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
New England Urogynecology P.C. Obstetrics & Gynecology Current Accepting new patients
Brigham & Womens Physicians Organization Inc Obstetrics & Gynecology Past Accepting new patients
Winchester Physician Associates, Inc PastSince Apr 1, 2009 Accepting new patients
Brigham and Womens Physicians Organization Inc Obstetrics & Gynecology Past Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Past Accepting new patients

Locations

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

800 W Cummings Park
Ste 2550
Woburn, MA 01801
Phone (781) 460-2120

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIHAA
  • Direct secure messaging: sujatha.rajan@neugyn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIHAA/Endpoint/IGIHAA

Organizations & group practices 7

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 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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1710962543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W. CUMMINGS PARK",
            "address_2": "#2550",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-460-2120",
            "fax_number": "781-460-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W. CUMMINGS PARK",
            "address_2": "#2250",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-460-2120",
            "fax_number": "781-460-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "SUJATHA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "216213",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MA",
            "license": "216213",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "216213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.