SABITHA R GOPALSWAMY MD
NPI 1841253234
Internal Medicine in Shrewsbury, MA

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
378 MAPLE AVE, SHREWSBURY, MA 01545(508) 595-2513(508) 595-2021 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sabitha R Gopalswamy Md NPPES

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

SABITHA R GOPALSWAMY MD (NPI 1841253234) is an individual internal medicine provider in Shrewsbury, Massachusetts, licensed in Massachusetts (150741) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1841253234
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSABITHA R GOPALSWAMYCredential: MD
Location Address378 MAPLE AVEShrewsbury, MA 01545-2673
Mailing Address5 Neponset St, Mercantile Center 12th FloorWorcester, MA 01606-2714 · (508) 852-0600
Fax(508) 595-2021
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 8, 2006
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1841253234 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 · 150741
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.

378 MAPLE AVE, Shrewsbury, MA 01545

Secondary Practice Location 1

Location 15 Neponset StWorcester, MA 01606-2714 · Phone (508) 595-2300 · Fax (508) 853-5226

Other Identifiers 17

Other042472266Private Healthcare System
Other784139Mvp Health Care
Other042472266Healthcare Value Manageme
Other3170608Medicaid Welfare
Other32213Fallon Community Health P
Other3922460Cigna Health Plan
OtherJ18350Blue Shield Indemnity
OtherJ18350Blue Care Elect
Other042472266One Health Plan
Other7148596Aetna Us Healthcare
OtherAA1205Harvard Pilgrim Healthcar
Other2045640First Health
Other52466Healthy Start
Other0401728Evercare
Medicaid3170608MA
Other52466Childrens Medical Securit
OtherJ18350Blue Shield Hmo Blue

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

Sabitha R Gopalswamy 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 ID9931241411
PECOS Enrollment IDI20100121000477
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
196 services122 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
168 services110 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.
43 services43 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
31 services29 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
29 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01545 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers35 claims107 services$4.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims15 services$0.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Pediatrics
378 MAPLE AVE
SHREWSBURY, MA 01545
Pediatrics
378 MAPLE AVE
SHREWSBURY, MA 01545
Internal Medicine
378 MAPLE AVE
SHREWSBURY, MA 01545
Internal Medicine
378 MAPLE AVE
SHREWSBURY, MA 01545
Internal Medicine
378 MAPLE AVE
SHREWSBURY, MA 01545
Pediatrics
378 MAPLE AVE
SHREWSBURY, MA 01545
Internal Medicine
378 MAPLE AVE
SHREWSBURY, MA 01545
Internal Medicine
378 MAPLE AVE
SHREWSBURY, MA 01545

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 Sabitha Gopalswamy's NPI number?

The NPI number for Sabitha Gopalswamy is 1841253234. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Sabitha Gopalswamy located?

Sabitha Gopalswamy practices at 378 Maple Ave, Shrewsbury, MA 01545. The listed phone number is (508) 595-2513.

What is Sabitha Gopalswamy's specialty?

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

Is Sabitha Gopalswamy enrolled in Medicare?

Yes. Sabitha Gopalswamy 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 Sabitha Gopalswamy accept?

Health plans from Anthem Blue Cross and Blue Shield list Sabitha Gopalswamy 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 Sabitha Gopalswamy was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.