Sreesubha P. Chittamooru, PHYSICIAN ASSISTANT
NPI 1639454960ActiveIndividual· Physician Assistant· Worcester, MA
Physician Assistant (PHYSICIAN ASSISTANT) with Umass Memorial Medical Group Inc and 1 other group, practicing in Worcester, Massachusetts. Mostly services rather than prescriptions: Medicare paid $14,460 for 164 patients in 2024, with only 18 Part D claims. Lists Lahey Hospital & Medical Center, Burlington and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1639454960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Oct 18, 2011 |
| Last updated in NPPES | Nov 6, 2024 |
| Certified by provider | Nov 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA4578 | MA |
| Physician Assistant | 363A00000X | 2665 | CT |
| Physician Assistant, Surgical | 363AS0400X | 2665 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 164 |
|---|---|
| Services billed | 194 across 14 procedure codes |
| Paid by Medicare | $14,460 |
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 18 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $1,855 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
- Lahey Clinic IncBurlington, MA · 1,381 clinicians
Hospital affiliations
- Lahey Hospital & Medical Center, BurlingtonBurlington, MA
- Milford Regional Medical CenterMilford, MA
- Umass Memorial Health - Harrington HospitalSouthbridge, MA
- Umass Memorial Healthalliance HospitalsLeominster, MA
- Umass Memorial Medical Center/University CampusWorcester, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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