Active NPI
Andal Sadagopan, MD
- Internal Medicine Physician
- Westborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 209816
- Practice address
- 900 Union St
Westborough, MA 01581 - Phone
- (508) 871-0700
- Fax
- (508) 616-4411
- NPI assigned
- Jan 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 209816 | MA | Primary |
Addresses
Primary practice location
900 Union St
Westborough, MA 01581
Mailing address
5 Neponset St FL ST2
Worcester, MA 01606-2714
Phone (508) 368-5532
Other practice location 1
900 Union St
Westborough, MA 01581
Phone (508) 871-0700
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784140 | Other | MVP HEALTH CARE | |
| AA1292 | Other | HARVARD PILGRIM | |
| A32802 | Other | MEDICARE B | |
| 0402312 | Other | EVERCARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| J23700 | Other | BLUE SHIELD HMO BLUE | |
| 0150541 | Other | MEDICAID WELFARE | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 110004175A | Medicaid | MA | |
| J23700 | Other | BLUE CARE ELECT | |
| 042472266 | Other | HEALTHCARE VALUE | |
| 110224092 | Other | RAILROAD MEDICARE | |
| 2044908 | Other | FIRST HEALTH | |
| 61237 | Other | FALLON COMMUNITY HEALTH | |
| 9481376 | Other | CIGNA HEALTH PLAN | |
| 0150541 | Other | HEALTHY START | |
| 7585340 | Other | AETNA US HEALTHCARE | |
| J23700 | Other | BLUE SHIELD INDEMNITY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Union St
Westborough, MA 01581-5408
Phone (508) 366-8836
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209816 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
900 Union St
Westborough, MA 01581
Phone (508) 871-0700
106 E Main St
Westborough, MA 01581
Phone (508) 871-0700
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 2
Worcester, MA 01606
Phone (508) 368-5532
5 Neponset St
Fl ST2
Worcester, MA 01606
Interoperability endpoints
- andal.sadagopan.npi1932187846.reliant@direct.optumcare.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Milford, MA
- NPI 1568828796
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1932187846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST FL ST2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-368-5532",
"fax_number": "508-616-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 UNION ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "01581",
"telephone_number": "508-871-0700",
"fax_number": "508-616-4411"
}
],
"practiceLocations": [
{
"address_1": "900 Union St",
"address_purpose": "LOCATION",
"city": "Westborough",
"state": "MA",
"postal_code": "01581",
"country_code": "US",
"telephone_number": "508-871-0700",
"fax_number": "508-616-4411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADAGOPAN",
"first_name": "ANDAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "209816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA1292",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "A32802",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0402312",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J23700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "0150541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110004175A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J23700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110224092",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2044908",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "61237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "9481376",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "0150541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7585340",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J23700",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.