BINU PATHROSE MD
NPI 1023096682
Internal Medicine in Leominster, MA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
60 HOSPITAL RD, LEOMINSTER, MA 01453(978) 466-4169(978) 466-4164 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Apr 23, 2020, Apr 26, 2018 and 2 more (5 updates tracked since 2017).

About Binu Pathrose Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BINU PATHROSE MD (NPI 1023096682) is an individual internal medicine provider in Leominster, Massachusetts, licensed in Massachusetts (226892) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023096682
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBINU PATHROSECredential: MD
Location Address60 HOSPITAL RDLeominster, MA 01453-2205
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(978) 466-4164
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 4, 2006
Last NPPES UpdateOctober 27, 20205 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1023096682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 226892
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

60 HOSPITAL RD, Leominster, MA 01453

Secondary Practice Locations 2

Location 1201 Highland StClinton, MA 01510-1037 · Phone (978) 368-3000
Location 2101 Page StNew Bedford, MA 02740-3464 · Phone (508) 973-5919 · Fax (508) 973-5916

Other Identifiers 3

OtherM20928Medicare Group
Medicaid2130149MA
Other9771476Medicaid Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Binu Pathrose Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325147929
PECOS Enrollment IDI20070622000205
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
503 services218 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
247 services210 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
181 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services92 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier27 claims28 services$3.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims18 services$63.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Emergency Medicine
60 HOSPITAL RD, WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
Obstetrics & Gynecology (Hospice and Palliative Medicine)
60 HOSPITAL RD, HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
General Acute Care Hospital
60 HOSPITAL RD
LEOMINSTER, MA 01453
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA 01453
Social Worker
60 HOSPITAL RD
LEOMINSTER, MA 01453
Radiology (Diagnostic Radiology)
60 HOSPITAL RD
LEOMINSTER, MA 01453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Binu Pathrose's NPI number?

The NPI number for Binu Pathrose is 1023096682. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Binu Pathrose located?

Binu Pathrose practices at 60 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-4169.

What is Binu Pathrose's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Binu Pathrose enrolled in Medicare?

Yes. Binu Pathrose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Binu Pathrose affiliated with any hospitals?

According to CMS data, Binu Pathrose is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Binu Pathrose was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.