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DR. SUSHMA BOPPANA M.D.
NPI 1992797690
Pathology - Anatomic Pathology & Clinical Pathology in Brookline, MA

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
13 GRIGGS TER, BROOKLINE, MA 02446(631) 327-4841 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sushma Boppana M.d. NPPES

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

DR. SUSHMA BOPPANA M.D. (NPI 1992797690) is an individual anatomic pathology & clinical pathology provider in Brookline, Massachusetts, licensed in Massachusetts (236771) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1992797690
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SUSHMA BOPPANACredential: M.D.
Location Address13 GRIGGS TERBrookline, MA 02446-4702
Mailing Address13 Griggs TerBrookline, MA 02446-4702 · (631) 327-4841
Phone(631) 327-4841
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 18, 2005
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1992797690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in MA · 236771✔ Licensed in NY · 199972
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
13 GRIGGS TER, Brookline, MA 02446
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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. Sushma Boppana 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 ID5294808739
PECOS Enrollment IDI20080717000101
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 Sushma Boppana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brigham & Womens Physicians Organization Inc
1.0 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500
Mass General Brigham Community Physicians Inc
5.3 mi
Cardiovascular Disease
137 MAIN ST
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 258 clinicians in this Medicare group
NPI 1548638265 (781) 395-4909

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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,053 services561 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
191 services35 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
149 services129 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
112 services56 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
90 services88 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
76 services75 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02446 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Sushma Boppana's NPI number?

The NPI number for Sushma Boppana is 1992797690. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Sushma Boppana located?

Sushma Boppana practices at 13 Griggs Ter, Brookline, MA 02446. The listed phone number is (631) 327-4841.

What is Sushma Boppana's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sushma Boppana enrolled in Medicare?

Yes. Sushma Boppana 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 Sushma Boppana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Boppana reassigns Medicare benefits to 2 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA) and Mass General Brigham Community Physicians Inc (Medford, 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 Sushma Boppana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushma Boppana accept?

Health plans from Taro Health list Sushma Boppana 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 Sushma Boppana affiliated with any hospitals?

According to CMS data, Sushma Boppana is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Boppana was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.