DR. PRATIBHA SURATHI MD
NPI 1619455318
Psychiatry & Neurology - Neurology in Southbridge, MA

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
100 SOUTH ST, SOUTHBRIDGE, MA 01550(508) 764-2515(508) 765-2457 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2023, Aug 3, 2018 (2 updates tracked since 2018).

About Dr. Pratibha Surathi Md NPPES

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

DR. PRATIBHA SURATHI MD (NPI 1619455318) is an individual neurology provider in Southbridge, Massachusetts, licensed in Massachusetts (1027385) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619455318
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PRATIBHA SURATHICredential: MD
Location Address100 SOUTH STSouthbridge, MA 01550-4051
Mailing Address281 Lincoln StWorcester, MA 01605-2138 · (508) 334-8105 · Fax (508) 334-8105
Fax(508) 765-2457
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 3, 2018
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1619455318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 1027385
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
100 SOUTH ST, Southbridge, MA 01550

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. Pratibha Surathi 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 ID1850746827
PECOS Enrollment IDI20231011001055, I20260626004366
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

5

Medicare enrollment records show Pratibha Surathi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Multi-Specialty
1250 SHAKESPEARE AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 272 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 3

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
60 services27 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
46 services23 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
30 services27 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Physician Assistant (Medical)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Internal Medicine
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Emergency Medicine
100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL
SOUTHBRIDGE, MA 01550
Pediatrics
100 SOUTH ST, STE 102
SOUTHBRIDGE, MA 01550
Internal Medicine (Gastroenterology)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Nurse Anesthetist, Certified Registered
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Internal Medicine (Cardiovascular Disease)
100 SOUTH ST
SOUTHBRIDGE, MA 01550

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 Pratibha Surathi's NPI number?

The NPI number for Pratibha Surathi is 1619455318. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Pratibha Surathi located?

Pratibha Surathi practices at 100 South St, Southbridge, MA 01550. The listed phone number is (508) 764-2515.

What is Pratibha Surathi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pratibha Surathi enrolled in Medicare?

Yes. Pratibha Surathi 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 Pratibha Surathi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Surathi reassigns Medicare benefits to 5 organizations: Umass Memorial Medical Group, Inc. (Oxford, MA), Bronx Medical Practice P.C. (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Essen Medical Associates, PC (Bronx, NY) and Shakespeare Operating LLC (Bronx, NY). 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 Pratibha Surathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratibha Surathi accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Pratibha Surathi 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 Pratibha Surathi affiliated with any hospitals?

According to CMS data, Pratibha Surathi is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Pratibha Surathi was last updated on June 18, 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.