SUMITA GOKHALE M.D.
NPI 1235238015
Pathology - Anatomic Pathology & Clinical Pathology in Cambridge, MA

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
81.97/100
CMS Quality Rating
9 CAMBRIDGE CTR, ROOM 449, WHITEHEAD INSTITUTE-BIOMEDICAL RESEARCH, CAMBRIDGE, MA 02142(617) 258-5189 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sumita Gokhale M.d. NPPES

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

SUMITA GOKHALE M.D. (NPI 1235238015) is an individual anatomic pathology & clinical pathology provider in Cambridge, Massachusetts, licensed in Rhode Island (MD12289) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1235238015
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSUMITA GOKHALECredential: M.D.
Location Address9 CAMBRIDGE CTR, ROOM 449, WHITEHEAD INSTITUTE-BIOMEDICAL RESEARCHCambridge, MA 02142
Mailing Address2234 Lexington Ridge DrLexington, MA 02421-8306 · (617) 258-5189
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 21, 2006
Last NPPES UpdateDecember 15, 2009
NPI 1235238015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in RI · MD12289
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License MD12289 (RI)
9 CAMBRIDGE CTR, ROOM 449, Cambridge, MA 02142

Accepted 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

Sumita Gokhale M.d. 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 ID3577659382
PECOS Enrollment IDI20241118001239
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 24

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,550 services779 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
244 services215 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
233 services69 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
219 services156 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
202 services162 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
187 services76 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02142 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.95
Improvement Activities40

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 Sumita Gokhale's NPI number?

The NPI number for Sumita Gokhale is 1235238015. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Sumita Gokhale located?

Sumita Gokhale practices at 9 Cambridge Ctr, Room 449 Whitehead Institute-Biomedical Research, Cambridge, MA 02142. The listed phone number is (617) 258-5189.

What is Sumita Gokhale's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sumita Gokhale enrolled in Medicare?

Yes. Sumita Gokhale 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 Sumita Gokhale accept?

Health plans from HMO Louisiana list Sumita Gokhale 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 Sumita Gokhale affiliated with any hospitals?

According to CMS data, Sumita Gokhale is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Sumita Gokhale was last updated on December 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.