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Active NPI 1639454960 Individual Practitioner Female Practitioner

Sreesubha P Chittamooru , PHYSICIAN ASSISTANT

Physician Assistant • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sreesubha Chittamooru, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Worcester, MA. With approximately 15 years of clinical experience since completing medical education in 2011, Sreesubha Chittamooru delivers high-quality medical care to the local community at 55 LAKE AVE N.

Sreesubha Chittamooru maintains professional affiliations with Lahey Clinic Inc, Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, emergency department visit with moderate level of medical decision making, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083340605
Fax 5088565074
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +4.6 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
426 Specialists

Practicing in Worcester, MA (4746 Statewide)

Telehealth Adoption Rate
15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chittamooru (15 Years) 15 Yrs
Worcester Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
48 48 $450.00 $109.51
99284 Emergency department visit with moderate level of medical decision making
39 39 $383.00 $100.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
39 29 $238.00 $66.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 17 $667.00 $145.48
99221 Initial hospital inpatient care per day, typically 30 minutes
16 16 $331.00 $69.13

Medical Specialties & State Licenses

CMS Verified: 2024-11-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA4578

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CT 2665

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License CT 2665

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110142188A (MA)

Hospital & Practice Group Affiliations

Lahey Clinic Inc

29 Mall Rd, Burlington, MA 018050001

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Lahey Clinic Inc

41 Mall Rd, Burlington, MA 018050001

Umass Memorial Medical Group Inc

378 Plantation St, Worcester, MA 016052324

Phone: 5083341000

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Lahey Clinic Inc

41 Mall Rd, Burlington, MA 018050001

Secondary Practice Locations

34 Maple St, Norwalk Hospital - Department Of Surgery

Norwalk, CT 06850

Phone: 2038522188

55 Lake Ave N

Worcester, MA 016550002

Phone: 7744437552

41 Mall Rd

Burlington, MA 018050002

Phone: 7817448085

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dana Walker

Physician Assistant

NPI 1053955021
Corey Caracciolo

Physician Assistant

NPI 1063059566
Dr. Stephen Gutting , MD

Neurological Surgery

NPI 1063465615

Doctor of Medicine (M.D.)

John O'grady , PA-C

Physician Assistant

NPI 1083689020

Physician Assistant (Certified)

Justin Lepore

Nurse Practitioner

NPI 1114344389
Jeffery Giarnese , PA

Physician Assistant

NPI 1114991130

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Physician Assistant (License #PA4578 in MA)

📍
Updated Practice Location February 07, 2019

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083340605)

📍
Updated Practice Location August 17, 2018

Registered at 34 MAPLE ST, NORWALK HOSPITAL - DEPARTMENT OF SURGERY, NORWALK, CT 06850 (Tel: 2038522188)

📍
Updated Business Mailing Address August 17, 2018

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

NPI Profile Active September 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2014

Registered at 34 MAPLE ST, NORWALK HOSPITAL - DEPARTMENT OF SURGERY, NORWALK, CT 068503815 (Tel: 2038522188)

📍
Updated Business Mailing Address September 16, 2014

Registered at 15 CHARLESBANK WAY, APMT # A, WALTHAM, MA 024532527 (Tel: 5083143673)

👤
Provider Name / Credentials Updated September 16, 2014

Recorded as SREESUBHA CHITTAMOORU, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2014

Physician Assistant (License #2665 in CT)

🟢
Initial NPI Registration & Enumeration October 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639454960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2011
Last Update: November 06, 2024
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.