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PALLAV BHATTARAI MD
NPI 1669896775
Pediatrics - Pediatric Critical Care Medicine in Worcester, MA

Active since February 10, 2014PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(774) 442-2164(774) 443-2062 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2025, Aug 13, 2020, Jul 12, 2017 and 1 more (4 updates tracked since 2017).

About Pallav Bhattarai Md NPPES

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

PALLAV BHATTARAI MD (NPI 1669896775) is an individual pediatric critical care medicine provider in Worcester, Massachusetts, licensed in Massachusetts (282814) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669896775
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NamePALLAV BHATTARAICredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(774) 442-2164
Fax(774) 443-2062
Sole ProprietorNo
Enumeration DateFebruary 10, 2014
Last NPPES UpdateOctober 27, 20254 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1669896775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MA · 282814
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
55 LAKE AVE N, Worcester, MA 01655
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Secondary Practice Locations 2

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000 ext. 97307
Location 2759 Chestnut StreetSpringfield, MA 01107-1619 · Phone (413) 794-3400 · Fax (413) 794-1273

Other Identifiers 1

Medicaid110162990AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pallav Bhattarai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Pallav Bhattarai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group Inc
Same address
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000
Children's Hospital Pediatric Associates, Inc
34 mi
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. SHERINE MARY HASSEY-HALLIGAN NP
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271

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 Pallav Bhattarai's NPI number?

The NPI number for Pallav Bhattarai is 1669896775. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Pallav Bhattarai located?

Pallav Bhattarai practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-2164.

What is Pallav Bhattarai's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Pallav Bhattarai enrolled in Medicare?

Yes. Pallav Bhattarai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pallav Bhattarai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pallav Bhattarai reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Children's Hospital Pediatric Associates, Inc (Boston, MA). 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 Pallav Bhattarai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pallav Bhattarai accept?

Health plans from Taro Health list Pallav Bhattarai 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.

When was this NPI record last updated?

The NPPES record for Pallav Bhattarai was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.