NEERAJA KONUTHULA MD
NPI 1407387368
Otolaryngology in Worcester, MA

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
55 LAKE AVE NORTH, WORCESTER, MA 01655(508) 334-4161(508) 334-3518 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, May 22, 2023, May 1, 2023 and 2 more (5 updates tracked since 2017).

About Neeraja Konuthula Md NPPES

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

NEERAJA KONUTHULA MD (NPI 1407387368) is an individual otolaryngology provider in Worcester, Massachusetts, licensed in Massachusetts (1020423) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Icahn School Of Medicine At Mount Sinai (2017).

NPPES Registry Identity

NPI1407387368
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameNEERAJA KONUTHULACredential: MD
Location Address55 LAKE AVE NORTHWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-3518
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateJuly 11, 20245 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1407387368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MA · 1020423
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

55 LAKE AVE NORTH, Worcester, MA 01655

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

Neeraja Konuthula 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 ID9234407974
PECOS Enrollment IDI20240814001496
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 4

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.

Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
42 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician 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.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Orthopaedic Surgery
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE NORTH, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
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 Neeraja Konuthula's NPI number?

The NPI number for Neeraja Konuthula is 1407387368. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Neeraja Konuthula located?

Neeraja Konuthula practices at 55 Lake Ave North, Worcester, MA 01655. The listed phone number is (508) 334-4161.

What is Neeraja Konuthula's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Neeraja Konuthula enrolled in Medicare?

Yes. Neeraja Konuthula 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.

Is Neeraja Konuthula affiliated with any hospitals?

According to CMS data, Neeraja Konuthula is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Neeraja Konuthula was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.