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SHWETHA S ADHIKARI MD
NPI 1962715912
Internal Medicine in Northborough, MA

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment
333 SW CUTOFF, NORTHBOROUGH, MA 01532(774) 570-5000(774) 570-5050 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Jul 1, 2016 (2 updates tracked since 2016).

About Shwetha S Adhikari Md NPPES

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

SHWETHA S ADHIKARI MD (NPI 1962715912) is an individual internal medicine provider in Northborough, Massachusetts, licensed in Massachusetts (257105) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962715912
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHWETHA S ADHIKARICredential: MD
Location Address333 SW CUTOFFNorthborough, MA 01532-2130
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(774) 570-5000
Fax(774) 570-5050
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 20, 2010
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1962715912 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 · 257105
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.
333 SW CUTOFF, Northborough, MA 01532
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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

Shwetha S Adhikari 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 ID6608003173
PECOS Enrollment IDI20131209001610
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 7

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.
186 services103 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.
71 services71 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.
58 services46 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.
22 services22 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
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 Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex 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 01532 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
4 suppliers18 claims53 services$5.69 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 11

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

DR. BRYAN MATTHEW MCGUIRK MD
Internal Medicine
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 570-5000
NATALIE FAXON FNP-C
Nurse Practitioner
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 570-5000
STACIA REMSBURG SAILER M.D.
Internal Medicine (Pulmonary Disease)
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 570-5000
URGENT CARE CENTERS OF CENTRAL MASSACHUSETTS, LLC
Clinic/Center (Urgent Care)
333 SW CUTOFF, UNIT 202
NORTHBOROUGH, MA 01532
Worcester County (508) 466-8677
JULIA C. FOYE PA-C
Physician Assistant
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 828-5200
DR. MICHAEL A REYES M.D.
Family Medicine
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 570-5000
CYNTHIA DE SOUSA RN
Nurse Practitioner
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 828-5200
SHUBHA PAI M.D.
Internal Medicine
333 SW CUTOFF
NORTHBOROUGH, MA 01532
Worcester County (774) 570-5000

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 Shwetha Adhikari's NPI number?

The NPI number for Shwetha Adhikari is 1962715912. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Shwetha Adhikari located?

Shwetha Adhikari practices at 333 SW Cutoff, Northborough, MA 01532. The listed phone number is (774) 570-5000.

What is Shwetha Adhikari's specialty?

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

Is Shwetha Adhikari enrolled in Medicare?

Yes. Shwetha Adhikari 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 Shwetha Adhikari accept?

Health plans from Anthem Blue Cross and Blue Shield list Shwetha Adhikari 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 Shwetha Adhikari affiliated with any hospitals?

According to CMS data, Shwetha Adhikari is affiliated with Umass Memorial Healthcare-Marlborough Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Shwetha Adhikari was last updated on December 2, 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.