DR. TEDDI BACHAWATY (MD) – Obstetrics & Gynecology Physician, NPI 1154304228

DR. TEDDI BACHAWATY (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 246567 (MA). The NPI Number for DR. TEDDI BACHAWATY (MD) is 1154304228

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. TEDDI BACHAWATY (MD)
NPI
1154304228
Phone
(508) 363-6470
Address
123 Summer St Ste 587
Enumeration Date
22 November 2005
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5183143344
Graduation Year
1997 (29 years ago)
PAC ID
7416976360
Group Practice PAC ID
2769396878
Professional Enrollment ID
I20210318000541
Address ID
NY129012779PL206XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for DR. TEDDI BACHAWATY (MD)

  • 123 Summer St Ste 587

    Worcester, MA 016081216

    Phone: (508) 363-6470

    Fax: (508) 363-7470

    Type: Location

  • 206 Cornelia St Ste 202

    Plattsburgh, NY 129012779

    Phone: (518) 314-3511

    Type: Location

  • 75 Beekman St

    Plattsburgh, NY 129011438

    Phone: (518) 561-2000

    Type: Location

  • 9, Trolley Crossing Road, Trolley Crossing, Charlton City, Charlton, Worcester County, Massachusetts, 01507, United States

    CHARLTON, MA 015071351

    Phone: (508) 980-7055

    Fax: (508) 980-7072

    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: 2021-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110606000130IObstetrics/GynecologyMATBD
I20210318000541IObstetrics/GynecologyNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01608)

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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: 2769396878View full group profile
NameSpecialtyState
Physician AssistantNY
O B S T E T R I C S/ G Y N E C O L O G YNY
Registered Dietitian Or Nutrition ProfessionalNY
Physician AssistantNY
Medical Oncology, Hematology/OncologyNY
Family PracticeNY
Internal MedicineNY
Internal MedicineNY
Colorectal Surgery (Proctology), General SurgeryNY
-IN

Reviews

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Frequently asked questions

What is DR. TEDDI BACHAWATY (MD)'s NPI number?
DR. TEDDI BACHAWATY (MD)'s NPI is 1154304228 — the number used across U.S. healthcare to identify this provider.
Would DR. TEDDI BACHAWATY (MD) appear as active to a payer?
You can treat DR. TEDDI BACHAWATY (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. TEDDI BACHAWATY (MD)?
DR. TEDDI BACHAWATY (MD) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. TEDDI BACHAWATY (MD) associated with Worcester?
Public fields place DR. TEDDI BACHAWATY (MD) around Worcester, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.