SHRUTI PATHAK MD
NPI 1124301304
Family Medicine in Brockton, MA

Q: What is Shruti Pathak's NPI number?

The NPI number for Shruti Pathak is 1124301304. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Q: What is Shruti Pathak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shruti Pathak was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2011PECOS EnrolledAccepts Medicare Assignment

63 MAIN ST, SUITE 1, BROCKTON, MA 02301(508) 559-6699(508) 559-5073 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shruti Pathak Md NPPES

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

SHRUTI PATHAK MD (NPI 1124301304) is an individual family medicine provider in Brockton, Massachusetts, licensed in Massachusetts (259344) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124301304

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHRUTI PATHAKCredential: MD

Location Address63 MAIN ST, SUITE 1Brockton, MA 02301-4042

Mailing Address63 Main StBrockton, MA 02301-4042 · (508) 559-6699 · Fax (508) 559-5073

Phone(508) 559-6699

Fax(508) 559-5073

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 23, 2011

Last NPPES UpdateSeptember 30, 2014

✔ NPI 1124301304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 259344

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

63 MAIN ST, Brockton, MA 02301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Shruti Pathak 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 ID9931321908

PECOS Enrollment IDI20141106000463

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 2

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.

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

88 services44 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

42 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Boston Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220111

Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers23 claims31 services$4.76 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 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.

GLORIA IBARRA M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 559-6699

SAIRA GHANY

Dental Hygienist

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 559-6699

JANINA MARIE COLAVITA NP

Nurse Practitioner (Adult Health)

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 894-3473

ELSIE VARUGHESE M.D.

Internal Medicine

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 559-6699

DR. TRANG THANH NGUYEN DMD

Dentist (General Practice)

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 559-6699

SHEINA JEAN-MARIE DMD

Dentist (General Practice)

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 559-6699

GRIGOR MARTIROSYAN OD

Optometrist

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 894-3444

JACQUELINE SPENCER

Registered Nurse

63 MAIN ST
BROCKTON, MA 02301

Plymouth County (508) 559-6699

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 Shruti Pathak's NPI number?

The NPI number for Shruti Pathak is 1124301304. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Where is Shruti Pathak located?

Shruti Pathak practices at 63 Main St Suite 1, Brockton, MA 02301. The listed phone number is (508) 559-6699.

What is Shruti Pathak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shruti Pathak enrolled in Medicare?

Yes. Shruti Pathak 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.

What insurance does Shruti Pathak accept?

Health plans from Anthem Blue Cross and Blue Shield list Shruti Pathak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shruti Pathak affiliated with any hospitals?

According to CMS data, Shruti Pathak is affiliated with Boston Medical Center, Signature Healthcare Brockton Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Shruti Pathak was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.