Dr Madhav Sukumaran, MD, PHD - Medicare Neurological Surgery in Worcester, MA

Dr Madhav Sukumaran, MD, PHD is a medicare enrolled "Neurological Surgery" physician in Worcester, Massachusetts. His current practice location is 55 Lake Avenue North, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 334-0605.

Dr Madhav Sukumaran is licensed to practice in Massachusetts (license number 287058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174941819.

Contact Information

Dr Madhav Sukumaran, MD, PHD
55 Lake Avenue North,
Worcester, MA 01655
(508) 334-0605
Not Available

Map and Direction




Physician's Profile

Full NameDr Madhav Sukumaran
GenderMale
SpecialityNeurological Surgery
Location55 Lake Avenue North, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174941819
  • Provider Enumeration Date: 03/31/2014
  • Last Update Date: 06/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012299472
  • Enrollment ID: I20211018001621

Medical Identifiers

Medical identifiers for Dr Madhav Sukumaran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174941819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 287058 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Madhav Sukumaran allows following entities to bill medicare on his behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267
Entity NameBrigham And Women's Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Madhav Sukumaran is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Madhav Sukumaran, MD, PHD
Po Box 415348,
Boston, MA 02241-5348

Ph: () -
Dr Madhav Sukumaran, MD, PHD
55 Lake Avenue North,
Worcester, MA 01655

Ph: (508) 334-0605

Reviews and Comments


Neurological Surgery Doctors in Worcester, MA

Dr. Stephen M Gutting, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-0605    
Oguz I Cataltepe, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Department Of Neurosurgery, Worcester, MA 01655
Phone: 508-334-0605    Fax: 508-856-5074
Frederik A Pennings, M.D., PHD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 119 Belmont St, Worcester, MA 01605
Phone: 508-334-1886    Fax: 508-334-9769
Richard P Moser, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655
Phone: 508-334-0605    Fax: 508-856-5074
Arno S. Sungarian, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 67 Belmont St, Worcester, MA 01605
Phone: 508-752-6381    Fax: 508-795-0407
Farid Hamzei-sichani,
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-0605    Fax: 508-856-5074

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.