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DR. SUDIPTA MOHANTY MD
NPI 1447663695
Internal Medicine in Boston, MA

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment
330 BROOKLINE AVE, BOSTON, MA 02215(617) 754-9600(951) 486-5705 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2018, Jun 28, 2017 (2 updates tracked since 2017).

About Dr. Sudipta Mohanty Md NPPES

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

DR. SUDIPTA MOHANTY MD (NPI 1447663695) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (277029) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1447663695
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUDIPTA MOHANTYCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215
Mailing Address330 Brookline AveBoston, MA 02215-5400 · (617) 754-9600 · Fax (951) 486-5705
Phone(617) 754-9600
Fax(951) 486-5705
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 5, 2014
Last NPPES UpdateNovember 28, 20182 updates tracked since enumeration
✔ NPI 1447663695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 277029✔ Licensed in CA · A141308
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
330 BROOKLINE AVE, Boston, MA 02215
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Secondary Practice Location 1

Location 126520 Cactus AveMoreno Valley, CA 92555-3927 · Phone (951) 486-4000

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

Dr. Sudipta Mohanty 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 ID5496029506
PECOS Enrollment IDI20181018001365
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.

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.
111 services96 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.
45 services42 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.
23 services22 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Milton

Acute Care Hospitals · Milton, MA
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number220108
Location199 Reedsdale RoadMilton, MA 02186 · Norfolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$68.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$207.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Sudipta Mohanty's NPI number?

The NPI number for Sudipta Mohanty is 1447663695. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Sudipta Mohanty located?

Sudipta Mohanty practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 754-9600.

What is Sudipta Mohanty's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sudipta Mohanty enrolled in Medicare?

Yes. Sudipta Mohanty 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 Sudipta Mohanty affiliated with any hospitals?

According to CMS data, Sudipta Mohanty is affiliated with Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and Beth Israel Deaconess Hospital - Milton.

When was this NPI record last updated?

The NPPES record for Sudipta Mohanty was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.