SANJAY RAM M.D.
NPI 1699753194
Internal Medicine - Infectious Disease in Worcester, MA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(774) 441-8230 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2025, Feb 12, 2021, Nov 17, 2020 (3 updates tracked since 2020).

About Sanjay Ram M.d. NPPES

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

SANJAY RAM M.D. (NPI 1699753194) is an individual infectious disease provider in Worcester, Massachusetts, licensed in Massachusetts (82168) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1699753194
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameSANJAY RAMCredential: M.D.
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 4, 2006
Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
NPI 1699753194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in MA · 82168
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 1

Medicaid110061411AMA

Accepted Insurance

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

Sanjay Ram 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 ID9436153657
PECOS Enrollment IDI20060831000035
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

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.

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.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Rheumatology)
55 LAKE AVE N
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 Sanjay Ram's NPI number?

The NPI number for Sanjay Ram is 1699753194. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Sanjay Ram located?

Sanjay Ram practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 441-8230.

What is Sanjay Ram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sanjay Ram enrolled in Medicare?

Yes. Sanjay Ram 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.

What insurance does Sanjay Ram accept?

Health plans from Anthem Blue Cross and Blue Shield list Sanjay Ram 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 Sanjay Ram affiliated with any hospitals?

According to CMS data, Sanjay Ram is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Sanjay Ram was last updated on February 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.