DR. ISHA GUJRATHI MD
NPI 1316582117
Radiology - Diagnostic Radiology in Worcester, MA
About Dr. Isha Gujrathi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ISHA GUJRATHI MD (NPI 1316582117) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Massachusetts (1014711) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Cincinnati.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Dr. Isha Gujrathi 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
3Medicare enrollment records show Isha Gujrathi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 169 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Massachusetts and Ohio enrollments
- 2 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 5
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 Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAHeywood Hospital
Acute Care Hospitals · Gardner, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MASt Vincent Hospital
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 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.
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 Isha Gujrathi's NPI number?
The NPI number for Isha Gujrathi is 1316582117. It was assigned to this individual provider in the NPPES registry on November 15, 2019. The provider is also known as Dr. Isha Kotecha MD.
Where is Isha Gujrathi located?
Isha Gujrathi practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3850.
What is Isha Gujrathi's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Isha Gujrathi enrolled in Medicare?
Yes. Isha Gujrathi 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 Isha Gujrathi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Isha Gujrathi reassigns Medicare benefits to 3 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Umass Memorial Radiology Phys Serv (Worcester, MA) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Isha Gujrathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Isha Gujrathi accept?
Health plans from Oscar Health Insurance list Isha Gujrathi 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 Isha Gujrathi affiliated with any hospitals?
According to CMS data, Isha Gujrathi is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Heywood Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Isha Gujrathi was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Isha Gujrathi, MD · NPI 1316582117
Diagnostic Radiology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since November 15, 2019.
## Identity
- **NPI:** 1316582117 (Entity type: Individual)
- **Enumerated:** November 15, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 1014711 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-3850
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Umass Memorial Radiology Phys Serv (NPI 1639122096, Worcester, MA); University Of Cincinnati Physicians Company, LLC (NPI 1801840434, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316582117) · Data from the CMS NPPES public registry.