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SAPNA AGGARWAL M.D.
NPI 1710054366
Internal Medicine in Worcester, MA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
116 BELMONT ST, WORCESTER, MA 01605(508) 762-4480(508) 752-1404 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2023, Dec 16, 2020, Jan 7, 2019 and 2 more (5 updates tracked since 2016).

About Sapna Aggarwal M.d. NPPES

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

SAPNA AGGARWAL M.D. (NPI 1710054366) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (80146) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1710054366
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAPNA AGGARWALCredential: M.D.
Location Address116 BELMONT STWorcester, MA 01605-2964
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 762-4480
Fax(508) 752-1404
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 11, 20235 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1710054366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 80146
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
116 BELMONT ST, Worcester, MA 01605
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Other Identifiers 1

Medicaid3168298MA

Accepted Insurance

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

Sapna Aggarwal 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 ID3971581133
PECOS Enrollment IDI20040713000821
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 Sapna Aggarwal 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
1.7 mi
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
Lahey Clinic, Inc.
35 mi
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,574 clinicians in this Medicare group
NPI 1538194980 (781) 744-8000

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 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.
87 services55 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.
56 services35 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.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

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

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 01605 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 14

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

KATHERINE S UPCHURCH M.D.
Internal Medicine (Rheumatology)
116 BELMONT ST, RHEUMATOLOGY
WORCESTER, MA 01605
Worcester County (508) 334-6273
MARY F SULLIVAN FAMILY NURSE PRACTIT
Nurse Practitioner
116 BELMONT ST, SUITE 11
WORCESTER, MA 01605
Worcester County (508) 334-1102
MARK A AVERSA MD
Obstetrics & Gynecology
116 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 791-4300
DAVID L. DYKHUIZEN, M.D., P.C.
Specialist
116 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 752-7470
KERRY A WILLEY NP
Nurse Practitioner (Family)
116 BELMONT ST, SUITE 12
WORCESTER, MA 01605
Worcester County (508) 770-1602
MARK A. AVERSA MD PC
Obstetrics & Gynecology
116 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 791-4300
DR. RICHARD H WHITTEN M.D.
Surgery (Vascular Surgery)
116 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 754-7018
MARY K. FLYNN M.D.
Family Medicine
116 BELMONT ST, SUITE 11
WORCESTER, MA 01605
Worcester County (508) 334-1102

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 Sapna Aggarwal's NPI number?

The NPI number for Sapna Aggarwal is 1710054366. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Sapna Aggarwal located?

Sapna Aggarwal practices at 116 Belmont St, Worcester, MA 01605. The listed phone number is (508) 762-4480.

What is Sapna Aggarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sapna Aggarwal enrolled in Medicare?

Yes. Sapna Aggarwal 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 Sapna Aggarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sapna Aggarwal reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Lahey Clinic, Inc. (Burlington, 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 Sapna Aggarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sapna Aggarwal accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Sapna Aggarwal 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 Sapna Aggarwal affiliated with any hospitals?

According to CMS data, Sapna Aggarwal is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Sapna Aggarwal was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.