Madhav Sukumaran, MD, PHD
NPI 1174941819 · Neurological Surgery Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madhav Sukumaran, MD, PHD is a Neurological Surgery Physician provider in Worcester, MA (NPI 1174941819).
Provider details
- NPI number
- 1174941819
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 287058 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
142 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $65 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 28 | $77 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $96 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 22 | $81 |
| Removal of Blood Clot and Injection to Dissolve Blood Clot From Head Artery Using Fluoroscopic Guidance61645 | 16 | $814 |
| Insertion of Tube Into Brain Artery for Diagnosis Or Treatment With Review By Radiologist |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2023-06-25
- Certified
- 2023-06-25
Frequently asked questions
- What is Madhav Sukumaran's NPI number?
- Madhav Sukumaran's National Provider Identifier (NPI) is 1174941819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madhav Sukumaran's specialty?
- Madhav Sukumaran is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Madhav Sukumaran located?
- Madhav Sukumaran's practice location on file with NPPES is 55 Lake Avenue North, Worcester, MA 01655.
- What is Madhav Sukumaran's phone number?
- The practice phone number listed in the NPPES registry for Madhav Sukumaran is (508) 334-0605.
- Does Madhav Sukumaran accept Medicare?
- Madhav Sukumaran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madhav Sukumaran's NPI active?
- Yes — Madhav Sukumaran's NPI (1174941819) is active in the NPPES registry as of the last update on 2023-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.