Individual provider Active NPI

Prathibha Ranganna, M.D.

  • Internal Medicine Physician
  • Auburn, MA
National Provider Identifier
1871701060
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233249 Issued in MA
Practice address
103 Millbury St
Auburn, MA 01501-3205
Phone
(508) 721-4100
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 233249 MA Primary

Addresses

Primary practice location

103 Millbury St
Auburn, MA 01501-3205

Mailing address

PO Box 415348
Boston, MA 02241-5348

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pranganna23578@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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
I20070914000089 MA Practitioner - Internal Medicine 4082708581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Physician Partners P.CGroup PAC ID 4688560469, 2 clinicians

Practice addresses (Care Compare)

123 Summer St
Suite 385
Worcester, MA 01608-1216
Phone (508) 363-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233249MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physician Partners P.C Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Jan 31, 2014 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 31, 2014 Accepting new patients
Saint Vincent Physician Services, Inc. Internal Medicine PastSince Aug 17, 2010 Accepting new patients
Reliant Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

103 Millbury St
Auburn, MA 01501
Phone 50833410008780

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
Ste 385
Worcester, MA 01608
Phone (508) 363-7300

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

123 Summer St
Ste 370
Worcester, MA 01608
Phone (508) 363-7300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIBAA
  • Direct secure messaging: pranganna23578@umassmemorial.direct-ci.com
  • Direct secure messaging: prathibha.ranganna@piim.eclinicaldirectplus.com

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 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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1871701060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MILLBURY ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015013205",
            "telephone_number": "508-721-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGANNA",
        "first_name": "PRATHIBHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pranganna23578@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "103 Millbury St",
            "city": "Auburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015013205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "103 Millbury St",
            "city": "Auburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015013205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

Verify at the official NPI Registry.