RUMA RAJBHANDARI
NPI 1003008244
Internal Medicine - Gastroenterology in Boston, MA

NPI Status: Active since August 13, 2007

Contact Information

75 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 525-6841

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 17
  • Internal Medicine
  • Gastroenterology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About RUMA RAJBHANDARI

Ruma Rajbhandari is an internist established in Boston, Massachusetts and her medical specialization is Internal Medicine with a focus in gastroenterology with more than 17 years of experience. She graduated from Harvard Medical School in 2007. The healthcare provider is registered in the NPI registry with number 1003008244 assigned on August 2007. The practitioner's primary taxonomy code is 207RG0100X with license number 239338 (MA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI1003008244
Provider NameRUMA RAJBHANDARI
Location Address75 FRANCIS ST BOSTON, MA 02115
Location Phone(617) 525-6841
Mailing Address75 FRANCIS ST BOSTON, MA 02115
GenderFemale
Entity TypeIndividual
Medical School NameHARVARD MEDICAL SCHOOL
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date08-13-2007
Last Update Date07-01-2016
Code Navigator

An internist like Ruma Rajbhandari is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Ruma Rajbhandari is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.51 for a new patient copayment and $29.15 for an established patient copayment.

Location Map

Mailing Address

75 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 732-6389

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code207RG0100X
TypeAllopathic & Osteopathic Physicians
License No.239338
License StateMA
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

233240 (MA)

PECOS Enrollment and Medicare Participation Status

Ruma Rajbhandari is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658544457

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20111021000490

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02115 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $150.04
  • Minimum New Patient Price $66.28
  • Maximum New Patient Price $197.76
  • Average New Patient Copayment $37.51
  • Minimum New Patient Copayment $16.57
  • Maximum New Patient Copayment $49.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $116.6
  • Minimum Established Patient Price $21.28
  • Maximum Established Patient Price $162.14
  • Average Established Patient Copayment $29.15
  • Minimum Established Patient Copayment $5.32
  • Maximum Established Patient Copayment $40.53

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 29

    Biopsy of large bowel using an endoscope (HCPCS:45380)

  • 25

    Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)

  • 19

    Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

  • 17

    Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ruma Rajbhandari is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MOUNT AUBURN HOSPITAL330 MOUNT AUBURN STREET
CAMBRIDGE, MA 2138
(617) 492-3500Acute Care Hospitals
MASSACHUSETTS GENERAL HOSPITAL55 FRUIT STREET
BOSTON, MA 2114
(617) 724-9725Acute Care Hospitals

Reviews for RUMA RAJBHANDARI

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003008244
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001628
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 2 + 8 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003008244 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740284702DR. PO-SHUN LEE MD
Individual
Internal Medicine (Pulmonary Disease)75 FRANCIS ST BRIGHAM & WOMEN'S HOSPITAL, PULMONARY & CRITICAL CARE
BOSTON, MA 02115
(617) 355-9012
1629074760DR. CORNELIUS A SULLIVAN MD
Individual
Anesthesiology75 FRANCIS ST DEPARTMENT OF ANESTHESIOLOGY CWN L2
BOSTON, MA 02115
(617) 732-5500
1164429056MRS. CHRISTIE J LUCENTE PA
Individual
Physician Assistant75 FRANCIS ST
BOSTON, MA 02115
(617) 732-5500
1316939028 VERA STEWART FRANKLIN M.D.
Individual
Radiology (Diagnostic Radiology)75 FRANCIS ST
BOSTON, MA 02115
(508) 862-5379
1477545143DR. ALISON FIFE MD
Individual
Psychiatry & Neurology (Psychiatry)75 FRANCIS ST
BOSTON, MA 02115
(617) 732-6750
1477548394 RUSSELL ALAN BLINDER M.D.
Individual
Radiology (Diagnostic Radiology)75 FRANCIS ST RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
(617) 632-3306
1912993577 MIGUEL JOSE DIVO MD
Individual
Internal Medicine (Pulmonary Disease)75 FRANCIS ST PULMONARY DIVISION BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
(857) 307-0310
1588650881 GILBERT JEROME BEERS M.D.
Individual
Radiology (Neuroradiology)75 FRANCIS ST RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
(617) 732-7260
1922094234 CHRISTOPH ANDREAS BINKERT M.D.
Individual
Radiology (Vascular & Interventional Radiology)75 FRANCIS ST RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
(617) 732-7257
1689660532 DONALD P GOLDSTEIN MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
(617) 732-8843
1982691044 LAMBROS ZELLOS MD MPH
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)75 FRANCIS ST
BOSTON, MA 02115
(617) 732-7696
1063409126 CHRISTOPHER THOMAS DUCKO MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)75 FRANCIS ST
BOSTON, MA 02115
(617) 732-6824
1659369460PROF. ELAZER R. EDELMAN M.D., PH.D.
Individual
Internal Medicine (Cardiovascular Disease)75 FRANCIS ST
BOSTON, MA 02115
(617) 253-1569
1740278951 JOANNE M FOODY MD
Individual
Internal Medicine (Cardiovascular Disease)75 FRANCIS ST
BOSTON, MA 02115
(857) 307-1989
1235127432DR. PAUL J ANDERSON M.D., PH.D.
Individual
Internal Medicine (Rheumatology)75 FRANCIS ST
BOSTON, MA 02115
(617) 732-5325
1962491589MS. PAMELA D GERROL M.S.
Individual
Genetic Counselor, MS75 FRANCIS ST BWH/ASBI-3/CFMPG
BOSTON, MA 02115
(617) 732-4208
1669461810DR. AARON B WAXMAN M.D., PH.D
Individual
Internal Medicine (Pulmonary Disease)75 FRANCIS ST PBB CLINICS-3
BOSTON, MA 02115
(617) 525-9733
1013907641 CHARLES POZNER MD
Individual
Emergency Medicine75 FRANCIS ST BRIGHAM AND WOMENS HOSPITAL DEPT OF EMERGENCY MEDICINE
BOSTON, MA 02115
(617) 732-5640
1992795520 SAMUEL ZACHARY GOLDHABER
Individual
Internal Medicine (Cardiovascular Disease)75 FRANCIS ST CARDIOVASCULAR DIVISION, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
(617) 732-7566
1881684421 GALEN VINCENT HENDERSON MD
Individual
Psychiatry & Neurology (Neurology)75 FRANCIS ST BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF NEUROLOGY
BOSTON, MA 02115
(617) 732-7432

Frequently Asked Questions

What is Ruma Rajbhandari NPI number?

The NPI number assigned to this healthcare provider is 1003008244, enumerated in the NPI registry as an "individual" on August 13, 2007

Where is the provider located?

The provider is located at 75 Francis St Boston, Ma 02115 and the phone number is (617) 525-6841

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

How many years of experience does Ruma Rajbhandari have?

The provider has more than 17 years of experience. She graduated from Harvard Medical School in 2007.

Is Ruma Rajbhandari registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Ruma Rajbhandari ?

Medicare beneficiaries should expect a typical cost of $150.04 with an average copayment of $37.51 for new patient appointments. Established patients should expect a typical charge of $116.6 and an average copayment of 29.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Ruma Rajbhandari ?

The most common procedures or services performed by this practitioner are: Biopsy of large bowel using an endoscope, Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope, Diagnostic examination of large bowel using an endoscope and Removal of polyps or growths of large bowel using an endoscope.

Is Ruma Rajbhandari affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): MOUNT AUBURN HOSPITAL and MASSACHUSETTS GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on August 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.