Active NPI
Sushma Boppana, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 236771
- Practice address
- 13 Griggs Ter
Brookline, MA 02446-4702 - Phone
- (631) 327-4841
- NPI assigned
- Aug 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 199972 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 236771 | MA | Primary |
Addresses
Primary practice location
13 Griggs Ter
Brookline, MA 02446-4702
Mailing address
13 Griggs Ter
Brookline, MA 02446-4702
Phone (631) 327-4841
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
- Pathology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181
Hospital & facility affiliations
- North Shore Medical Center -
- Massachusetts General Hospital
- Newton-Wellesley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199972 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pathology Partners, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| New York University Medical Center Pathology Associates | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- boppana.sushma.mgh@direct.partners.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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Anatomic Pathology & Clinical Pathology
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Anatomic Pathology & Clinical Pathology Physician
- Salem, MA
- NPI 1114032976
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Anatomic Pathology & Clinical Pathology Physician
- Boynton Beach, FL
- NPI 1811987456
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1992797690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 GRIGGS TER",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464702",
"telephone_number": "631-327-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 GRIGGS TER",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464702",
"telephone_number": "631-327-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOPPANA",
"first_name": "SUSHMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "199972",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "236771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.