NISHANT SUNEJA MD
NPI 1831532845
Orthopaedic Surgery in Boston, MA

Q: What is Nishant Suneja's NPI number?

The NPI number for Nishant Suneja is 1831532845. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Nishant Suneja's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nishant Suneja was last updated on May 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment

55 FRUIT ST, BOSTON, MA 02114(617) 724-0594 Get Directions Write a Review

NPPES record last updated: May 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nishant Suneja Md NPPES

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

NISHANT SUNEJA MD (NPI 1831532845) is an individual orthopaedic surgery provider in Boston, Massachusetts, licensed in Massachusetts (274067) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of State University Of New York At Buffalo School Of Medicine (2013).

NPPES Registry Identity

NPI1831532845

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameNISHANT SUNEJACredential: MD

Location Address55 FRUIT STBoston, MA 02114

Mailing Address55 Fruit St, Yawkey 3964, Massachusetts General HospitalBoston, MA 02114-2621 · (617) 724-0594

Phone(617) 724-0594

Sole ProprietorYes

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateMay 13, 2018

✔ NPI 1831532845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MA · 274067

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

55 FRUIT ST, Boston, MA 02114

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Accepted Insurance

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

Nishant Suneja 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 ID3476801978

PECOS Enrollment IDI20180731001760

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 16

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.

152 services151 patients

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.

138 services98 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

109 services106 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.

33 services32 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

31 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services22 patients

Closed treatment of broken and/or dislocated pelvis and/or sacrum 27197

Closed treatment of a broken or dislocated pelvis/sacrum involves non-surgical methods to realign the bones. This could include pain management, immobilization with a brace or cast, and physical therapy to restore movement and strength.

19 services18 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.

19 services19 patients

Extensive or complicated repair of surface wound reopening 13160

This procedure involves the repair of a surface wound that has reopened. It may be extensive or complex due to the wound's size, depth, or location. The process includes cleaning the wound, removing any damaged tissue, and stitching it closed to promote healing.

17 services15 patients

Closed treatment of broken top of upper arm bone 23600

Closed treatment of a broken top of the upper arm bone involves non-surgical methods to heal the fracture. This may include immobilization with a cast or brace, pain management, and physical therapy exercises to restore movement and strength once healing begins.

16 services16 patients

Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone 11012

This procedure involves the extraction of foreign objects lodged in your skin, muscle, or bone due to an open fracture or dislocation. It's performed under anesthesia and involves making an incision, removing the foreign material, and then closing the wound.

13 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services13 patients

Stabilization of upper thigh bone with device 27187

Stabilization of the upper thigh bone with a device is a procedure aimed to secure the thigh bone, or femur, after a fracture. A medical device like a rod, screws or plate is used to hold the bone in place, aiding in healing and restoring mobility.

12 services12 patients

Closed treatment of broken hip socket 27220

Closed treatment of a broken hip socket involves non-surgical methods to realign the broken bone. This might include the use of medications, traction, or casts. The goal is to restore function and alleviate pain.

12 services12 patients

Treatment of broken shaft of thigh bone with implant 27506

This treatment involves fixing a broken thigh bone (femur) using an implant. The surgeon makes an incision, aligns the broken bone, and secures it with a metal rod, screws or plates. This helps the bone heal correctly and restore function.

12 services12 patients

Treatment of broken thigh bone in knee area 27513

Treatment for a broken thigh bone near the knee often involves surgery. The surgeon realigns the bone fragments and secures them with metal plates, screws, or rods. This stabilizes the bone, allowing it to heal properly. Post-surgery, physical therapy helps regain strength and mobility.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220119

Location1153 Centre StreetBoston, MA 02130 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

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.

STUTI GIRISH SHROFF MD, MBBS

Pathology (Anatomic Pathology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2971

NANCY WANG M.D.

Internal Medicine (Hematology & Oncology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (017) 724-4000

DR. DUSAN HANIDZIAR M.D., PH.D.

Anesthesiology

55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114

Suffolk County (617) 726-3030

JOHN JOSEPH DANKO DO

Physical Medicine & Rehabilitation

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2000

DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.

Internal Medicine (Infectious Disease)

55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114

Suffolk County (617) 724-9248

MS. KELLY ELISHA TRECARTIN NP

Nurse Practitioner (Acute Care)

55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114

Suffolk County (617) 726-7400

JAMIE MARIE ALLEN NP

Nurse Practitioner

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 724-4410

DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.

Internal Medicine (Cardiovascular Disease)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 643-3238

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 Nishant Suneja's NPI number?

The NPI number for Nishant Suneja is 1831532845. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Nishant Suneja located?

Nishant Suneja practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-0594.

What is Nishant Suneja's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nishant Suneja enrolled in Medicare?

Yes. Nishant Suneja 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 Nishant Suneja accept?

Health plans from Anthem Blue Cross and Blue Shield list Nishant Suneja 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 Nishant Suneja affiliated with any hospitals?

According to CMS data, Nishant Suneja is affiliated with North Shore Medical Center -, Southcoast Hospitals Group, South Shore Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Nishant Suneja was last updated on May 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.