Matthew Mariyampillai, MD in Worcester, MA

Matthew Mariyampillai, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Worcester, Massachusetts. His current practice location is 55 Lake Ave North, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 334-3850.

Matthew Mariyampillai is licensed to practice in Massachusetts (license number 1016021) 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 1578123485.

Contact Information

	Matthew Mariyampillai, MD
	55 Lake Ave North, Worcester, MA 01655-0002
	(508) 334-3850
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Mariyampillai
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	55 Lake Ave North, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578123485
Provider Enumeration Date: 06/13/2019
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1052731429
Enrollment ID: I20240708004003

Medical Identifiers

Medical identifiers for Matthew Mariyampillai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578123485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	1016021 (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. Matthew Mariyampillai allows following entities to bill medicare on his behalf.

Entity Name	Harbor Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124079561 PECOS PAC ID: 2466356209 Enrollment ID: O20040719000954

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Matthew Mariyampillai 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 Address	Practice Location Address
Matthew Mariyampillai, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Matthew Mariyampillai, MD 55 Lake Ave North, Worcester, MA 01655-0002 Ph: (508) 334-3850

Reviews and Comments

Radiology Doctors in Worcester, MA

Dominique Rowcroft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860
Nicholas Charles Fasano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 508-334-3850
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6177

Matthew Mariyampillai, MD - Medicare Radiology in Worcester, MA