DR. SIRI SHAM SUNDER SINGH KHALSA MD
NPI 1124723853
Student in an Organized Health Care Education/Training Program in Worcester, MA
About Dr. Siri Sham Sunder Singh Khalsa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIRI SHAM SUNDER SINGH KHALSA MD (NPI 1124723853) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Siri Sham Sunder Singh Khalsa 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.
Medicare Billing Reassignment
Medicare enrollment records show Siri Sham Sunder Khalsa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newton, MA 02462
- Reassigned Medicare billing, Massachusetts enrollment
- 992 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newton-Wellesley Hospital
Acute Care Hospitals · Newton, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Siri Sham Sunder Khalsa's NPI number?
The NPI number for Siri Sham Sunder Khalsa is 1124723853. It was assigned to this individual provider in the NPPES registry on April 3, 2023.
Where is Siri Sham Sunder Khalsa located?
Siri Sham Sunder Khalsa practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.
What is Siri Sham Sunder Khalsa's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Siri Sham Sunder Khalsa enrolled in Medicare?
Yes. Siri Sham Sunder Khalsa 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.
Which organization bills Medicare for Siri Sham Sunder Khalsa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siri Sham Sunder Khalsa reassigns Medicare benefits to Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siri Sham Sunder Khalsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Siri Sham Sunder Khalsa affiliated with any hospitals?
According to CMS data, Siri Sham Sunder Khalsa is affiliated with Newton-Wellesley Hospital.
When was this NPI record last updated?
The NPPES record for Siri Sham Sunder Khalsa was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Siri Sham Sunder Singh Khalsa, MD · NPI 1124723853
Student in an Organized Health Care Education/Training Program provider in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1124723853 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mass General Brigham Medical Group Suburban Massachusetts Inc (NPI 1538191218, Newton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124723853) · Data from the CMS NPPES public registry.