SUMAN BHUSHAN KOGANTI M.D.
NPI 1497163661
Surgery in Lowell, MA

Q: What is Suman Bhushan Koganti's NPI number?

The NPI number for Suman Bhushan Koganti is 1497163661. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Q: What is Suman Bhushan Koganti's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment

275 VARNUM AVE STE 203, LOWELL, MA 01854(978) 458-4300 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 28, 2022, Dec 23, 2019 (2 updates tracked since 2019).

On this page

About Suman Bhushan Koganti M.d. NPPES

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

SUMAN BHUSHAN KOGANTI M.D. (NPI 1497163661) is an individual surgery provider in Lowell, Massachusetts, licensed in New York (293738) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497163661

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSUMAN BHUSHAN KOGANTICredential: M.D.

Location Address275 VARNUM AVE STE 203Lowell, MA 01854-2109

Mailing Address275 Varnum Ave Ste 203Lowell, MA 01854-2109 · (978) 458-4300

Phone(978) 458-4300

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 31, 2014

Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration

NPPES CertifiedOctober 28, 2022

✔ NPI 1497163661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 293738

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

275 VARNUM AVE STE 203, Lowell, MA 01854

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Suman Bhushan Koganti 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 ID3678908670

PECOS Enrollment IDI20210622000582

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.

Medicare Billing Reassignments

Medicare enrollment records show Suman Bhushan Koganti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Surgical Associates, PC

Same address

Surgery

275 VARNUM AVE STE 203
Lowell, MA 01854

Reassigned Medicare billing, Massachusetts enrollment
8 clinicians in this Medicare group

NPI 1538405378 (978) 458-4300

Steward Medical Group, Inc

21 mi

Specialist

9 GALEN ST
Watertown, MA 02472

Reassigned Medicare billing, Massachusetts enrollment
1,103 clinicians in this Medicare group

NPI 1629398219 (615) 467-4474

Bronxcare Health System

182 mi

Pediatrics

1650 GRAND CONCOURSE
Bronx, NY 10457

Reassigned Medicare billing, New York enrollment
795 clinicians in this Medicare group

NPI 1073858296 (718) 901-8918

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 7

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.

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.

52 services52 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

38 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services32 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.

22 services18 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

16 services16 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.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220063

Location295 Varnum AvenueLowell, MA 01854 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01854 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWENDOLYN RAE MORROW ARNP

Nurse Practitioner (Obstetrics & Gynecology)