SONI GURUNG MD
NPI 1295469039
Internal Medicine in Leominster, MA
About Soni Gurung Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONI GURUNG MD (NPI 1295469039) is an individual internal medicine provider in Leominster, Massachusetts, licensed in Massachusetts (1023438) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Soni Gurung 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 Reassignments
2Medicare enrollment records show Soni Gurung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01606
- Reassigned Medicare billing, Massachusetts enrollment
- 718 clinicians in this Medicare group
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 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 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, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician 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.
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.
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
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 Soni Gurung's NPI number?
The NPI number for Soni Gurung is 1295469039. It was assigned to this individual provider in the NPPES registry on July 15, 2022.
Where is Soni Gurung located?
Soni Gurung practices at 60 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-4169.
What is Soni Gurung's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Soni Gurung enrolled in Medicare?
Yes. Soni Gurung 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 organizations bill Medicare for Soni Gurung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soni Gurung reassigns Medicare benefits to 2 organizations: Reliant Medical Group, Inc (Worcester, MA) and Umass Memorial Medical Group Inc (Worcester, MA). Each 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 Soni Gurung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soni Gurung accept?
Health plans from Taro Health list Soni Gurung 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 Soni Gurung affiliated with any hospitals?
According to CMS data, Soni Gurung 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 Soni Gurung was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Soni Gurung, MD · NPI 1295469039
Internal Medicine physician in Leominster, Massachusetts. Individual provider, active in the CMS NPPES registry since July 15, 2022.
## Identity
- **NPI:** 1295469039 (Entity type: Individual)
- **Enumerated:** July 15, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 1023438 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 60 HOSPITAL RD, Leominster, MA 01453-2205
- **Phone:** (978) 466-4169 · **Fax:** (978) 466-4017
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Reliant Medical Group, Inc (NPI 1720017528, Worcester, MA); Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295469039) · Data from the CMS NPPES public registry.