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DR. PRATHIBHA RANGANNA M.D.
NPI 1871701060
Internal Medicine in Auburn, MA

Active since May 19, 2007PECOS EnrolledAccepts Medicare Assignment
103 MILLBURY ST, AUBURN, MA 01501(508) 721-4100 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Prathibha Ranganna M.d. NPPES

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

DR. PRATHIBHA RANGANNA M.D. (NPI 1871701060) is an individual internal medicine provider in Auburn, Massachusetts, licensed in Massachusetts (233249) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1871701060
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRATHIBHA RANGANNACredential: M.D.
Location Address103 MILLBURY STAuburn, MA 01501-3205
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 721-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 19, 2007
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1871701060 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 · 233249
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.
103 MILLBURY ST, Auburn, MA 01501
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prathibha Ranganna 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 ID4082708581
PECOS Enrollment IDI20070914000089
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 Prathibha Ranganna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Physician Partners P.C
4.7 mi
Internal Medicine
123 SUMMER ST, SUITE 385N
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1518971860 (508) 363-7300
Umass Memorial Medical Group Inc
5.9 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

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 4

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.
119 services78 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.
63 services63 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.
52 services43 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

Hospital Affiliations CMS Care Compare 3

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

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01501 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

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
3 suppliers17 claims58 services$6.23 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 5

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

DR. HESHAM M. A. HAMMOUDA M.D.
Internal Medicine
103 MILLBURY ST
AUBURN, MA 01501
Worcester County (508) 721-4100
DR. MARYANN SHEA M.D.
Internal Medicine
103 MILLBURY ST
AUBURN, MA 01501
Worcester County (508) 721-4100
WILLIAM A PULTAR D.O.
Internal Medicine
103 MILLBURY ST
AUBURN, MA 01501
Worcester County (508) 721-4100
WILLIAM J. MCLAUGHLIN M.D.
Obstetrics & Gynecology
103 MILLBURY ST, DEPARTMENT OF GYNECOLOGY
AUBURN, MA 01501
Worcester County (508) 721-4100
DR. KETAKI A PATEL M.D.
Internal Medicine
103 MILLBURY ST
AUBURN, MA 01501
Worcester County (508) 721-4100

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 Prathibha Ranganna's NPI number?

The NPI number for Prathibha Ranganna is 1871701060. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is Prathibha Ranganna located?

Prathibha Ranganna practices at 103 Millbury St, Auburn, MA 01501. The listed phone number is (508) 721-4100.

What is Prathibha Ranganna's specialty?

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

Is Prathibha Ranganna enrolled in Medicare?

Yes. Prathibha Ranganna 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 Prathibha Ranganna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathibha Ranganna reassigns Medicare benefits to 2 organizations: Primary Physician Partners P.C (Worcester, MA) and Umass Memorial Medical Group Inc (Worcester, 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 Prathibha Ranganna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prathibha Ranganna accept?

Health plans from Anthem Blue Cross and Blue Shield list Prathibha Ranganna 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 Prathibha Ranganna affiliated with any hospitals?

According to CMS data, Prathibha Ranganna is affiliated with Umass Memorial Health - Harrington Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Prathibha Ranganna was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.