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MRS. SINI POULOSE D.O.
NPI 1700885639
Family Medicine in Lynnfield, MA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY HEALTH PRIMARY CARE, LYNNFIELD, 6 KIMBALL LANE, SUITE 120, LYNNFIELD, MA 01940(781) 213-4040 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 23, 2017, Aug 11, 2016, Jun 27, 2016 (3 updates tracked since 2016).

About Mrs. Sini Poulose D.o. NPPES

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

MRS. SINI POULOSE D.O. (NPI 1700885639) is an individual family medicine provider in Lynnfield, Massachusetts, licensed in Massachusetts (234825) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2000).

NPPES Registry Identity

NPI1700885639
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. SINI POULOSECredential: D.O.
Location AddressLAHEY HEALTH PRIMARY CARE, LYNNFIELD, 6 KIMBALL LANE, SUITE 120Lynnfield, MA 01940-2667
Mailing AddressLahey Health Primary Care, Lynnfield, 6 Kimball Lane, Suite 120Lynnfield, MA 01940-2667 · (781) 213-4040
Phone(781) 213-4040
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2000
Enumeration DateJuly 21, 2005
Last NPPES UpdateMarch 15, 20243 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1700885639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 234825✔ Licensed in TX · L6130
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
LAHEY HEALTH PRIMARY CARE, LYNNFIELD, Lynnfield, MA 01940
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Other Names 1

Former Name (1)Sini Ninan D.o.

Other Identifiers 1

Medicaid170320901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Sini Poulose D.o. 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 ID3274591151
PECOS Enrollment IDI20041222000811
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 5

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.
42 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01940 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
Family Medicine
LAHEY HEALTH PRIMARY CARE, LYNNFIELD, 1350 MARKET STREET, 2ND FLOOR
LYNNFIELD, MA 01940
Essex County (781) 213-4040

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 Sini Poulose's NPI number?

The NPI number for Sini Poulose is 1700885639. It was assigned to this individual provider in the NPPES registry on July 21, 2005. The provider is also known as Sini Ninan D.O..

Where is Sini Poulose located?

Sini Poulose practices at Lahey Health Primary Care, Lynnfield 6 Kimball Lane, Suite 120, Lynnfield, MA 01940. The listed phone number is (781) 213-4040.

What is Sini Poulose's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sini Poulose enrolled in Medicare?

Yes. Sini Poulose 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 Sini Poulose accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Sini Poulose 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 Sini Poulose was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.