SASIKALA SANNAPAREDDY (M.D.) – Family Medicine Physician, NPI 1104870781

SASIKALA SANNAPAREDDY (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 226752 (MA). The NPI Number for SASIKALA SANNAPAREDDY (M.D.) is 1104870781

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
SASIKALA SANNAPAREDDY (M.D.)
NPI
1104870781
Phone
(508) 559-1567
Address
63 MAIN ST
Enumeration Date
19 May 2006
Last Update Date
11 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085596699
Graduation Year
1988 (38 years ago)
PAC ID
9335151281
Group Practice PAC ID
3870491699
Professional Enrollment ID
I20060615000161
Address ID
MA023014042BR63XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for SASIKALA SANNAPAREDDY (M.D.)

  • 63, Main Street, Brockton, Plymouth County, Massachusetts, 02301, United States

    BROCKTON, MA 023014342

    Phone: (508) 559-1567

    Fax: (508) 559-5073

    Mailing address matches the actual address.

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: 2006-06-15

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
I20060615000161IFamily PracticeMATBD

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
82947Blood glucose (sugar) level10248$0
83036Hemoglobin a1c level5337$0
G0008Administration of influenza virus vaccine2828$0
81003Automated urinalysis test1818$0
90662Influenza vaccine split virus, preservative free1717$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 3870491699View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
O P T O M E T R YMA
Certified Nurse Midwife (Cnm)MA
-MA
-MA
-MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA

Reviews

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Frequently asked questions

How do I look up SASIKALA SANNAPAREDDY (M.D.) by NPI?
Use NPI 1104870781 when you need to reference SASIKALA SANNAPAREDDY (M.D.) in forms, claims, or directories.
Is SASIKALA SANNAPAREDDY (M.D.) active in the national directory?
SASIKALA SANNAPAREDDY (M.D.)'s public NPI profile is in an active state.
Does SASIKALA SANNAPAREDDY (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for SASIKALA SANNAPAREDDY (M.D.). Clinical services aligned with this taxonomy classification.
Does SASIKALA SANNAPAREDDY (M.D.) practice in Massachusetts?
You will see Brockton, Massachusetts on file for SASIKALA SANNAPAREDDY (M.D.) alongside any extra practice locations.
Is SASIKALA SANNAPAREDDY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104870781. Always confirm identity and privileges with the practice and licensing boards.

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