ANA SUJATA MADARIYA MD
NPI 1952530685
Obstetrics & Gynecology in Worcester, MA

Q: What is Ana Madariya's NPI number?

The NPI number for Ana Madariya is 1952530685. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Ana Madariya's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ana Madariya was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 02, 2009PECOS EnrolledAccepts Medicare Assignment

123 SUMMER ST STE 150S, WORCESTER, MA 01608(508) 368-3110(508) 368-3113 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2019, Aug 14, 2017, Aug 10, 2017 and 1 more (4 updates tracked since 2017).

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About Ana Sujata Madariya Md NPPES

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

ANA SUJATA MADARIYA MD (NPI 1952530685) is an individual obstetrics & gynecology provider in Worcester, Massachusetts, licensed in Massachusetts (269093) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1952530685

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameANA SUJATA MADARIYACredential: MD

Location Address123 SUMMER ST STE 150SWorcester, MA 01608-1216

Mailing Address5 Neponset St Fl Street2Worcester, MA 01606-2714 · (508) 949-6874 · Fax (508) 949-6739

Phone(508) 368-3110

Fax(508) 368-3113

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 2, 2009

Last NPPES UpdateMarch 13, 20194 updates tracked since enumeration

✔ NPI 1952530685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MA · 269093✔ Licensed in WA · 60344560

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 62860 (NY)

123 SUMMER ST STE 150S, Worcester, MA 01608

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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

Ana Sujata Madariya 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 ID6608019013

PECOS Enrollment IDI20170628001663

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 3

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.

26 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

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 01608 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

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

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Other Providers at the Same Location NPPES 10

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

ISABELLA GLORIA SILVESTRE MD

Obstetrics & Gynecology