NIDHA P. MATTAPPALLY (M.D.) – Gynecology Physician, NPI 1063807600

NIDHA P. MATTAPPALLY (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 263545 (MA). The NPI Number for NIDHA P. MATTAPPALLY (M.D.) is 1063807600

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NIDHA P. MATTAPPALLY (M.D.)
NPI
1063807600
Phone
(508) 334-1000
Address
119 Belmont St
Enumeration Date
31 March 2015
Last Update Date
24 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817873003
Graduation Year
2019 (7 years ago)
PAC ID
5193034684
Group Practice PAC ID
3476813239
Professional Enrollment ID
I20190612003922
Address ID
MA018016372WO800XXPARK459
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for NIDHA P. MATTAPPALLY (M.D.)

  • 119 Belmont St

    Worcester, MA 016052903

    Phone: (508) 334-1000

    Type: Location

  • LAHEY HOSPITAL AND MEDICAL CENTER

    41 MALL ROAD

    BURLINGTON, MA 018050001

    Phone: (781) 744-8560

    Fax: (781) 744-5398

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190612003922IObstetrics/GynecologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2828$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 01605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476813239View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YCT
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
-MA

Reviews

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Frequently asked questions

How do I look up NIDHA P. MATTAPPALLY (M.D.) by NPI?
Use NPI 1063807600 when you need to reference NIDHA P. MATTAPPALLY (M.D.) in forms, claims, or directories.
Does this profile mean NIDHA P. MATTAPPALLY (M.D.) is currently active?
Yes — NIDHA P. MATTAPPALLY (M.D.) appears active in the national provider directory.
Can you summarize NIDHA P. MATTAPPALLY (M.D.)'s specialty in plain language?
Clinically, the directory lists NIDHA P. MATTAPPALLY (M.D.) with Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NIDHA P. MATTAPPALLY (M.D.)?
The page summarizes Worcester, Massachusetts for NIDHA P. MATTAPPALLY (M.D.); expand the address list for detail.
How can I contact NIDHA P. MATTAPPALLY (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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