SAURABH SINHA M.D.
NPI 1619326725
Neurological Surgery in Lawrence, MA
NPI Status: Active since June 09, 2016
Contact Information
354 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
Phone: (848) 702-6182
- Individual
- Male
- Years of Experience 10
- Neurological Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SAURABH SINHA
This page provides the complete NPI Profile along with additional information for Saurabh Sinha, a provider established in Lawrence, Massachusetts with a medical specialization in Neurological Surgery and more than 10 years of experience. He graduated from Rutgers, Robert Woood Johnson Medical School in 2016. The healthcare provider is registered in the NPI registry with number 1619326725 assigned on June 2016. The practitioner's primary taxonomy code is 207T00000X with license number 1012984 (MA). The provider is registered as an individual and his NPI record was last updated 2 years ago. Saurabh Sinha operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
- NPI
- 1619326725
- Provider Name
- SAURABH SINHA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 354 MERRIMACK ST LAWRENCE, MA 01843
- Location Phone
- (848) 702-6182
- Mailing Address
- 9 MAXWELLS GRN APT 203 SOMERVILLE, MA 02144
- Medical School Name
- RUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
- Graduation Year
- 2016
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-09-2016
- Last Update Date
- 07-05-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1012984
- License State
- MA
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Saurabh Sinha is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Saurabh Sinha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789044298
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230716000005, I20231005000399
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Laminectomy or laminotomy (partial removal of spine bones)
Spinal fusion
A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 20 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01843 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Saurabh Sinha is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LAWRENCE GENERAL HOSPITAL | ONE GENERAL STREET LAWRENCE, MA 01842 | (978) 683-4000 | Acute Care Hospitals | |
| LOWELL GENERAL HOSPITAL | 295 VARNUM AVENUE LOWELL, MA 01854 | (978) 937-6000 | Acute Care Hospitals | |
| HOLY FAMILY HOSPITAL | 70 EAST STREET METHUEN, MA 01844 | (978) 687-0156 | Acute Care Hospitals | |
| ST JOSEPH HOSPITAL | 172 KINSLEY ST NASHUA, NH 03060 | (603) 882-3000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 3 | 2 | 6 | 7 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 6 | 2 | 12 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 6 + 2 + 1 + 2 + 7 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1619326725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760478663 | DR. HOWARD M GARDNER M.D. Individual | Neurological Surgery | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1285621599 | DR. SRIRANGAM PADMANABHAN M.D. Individual | Physical Medicine & Rehabilitation | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1134116270 | DR. RICHARD G SELBST M.D. Individual | Psychiatry & Neurology (Neurology) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1750573978 | MS. LYNDA MARIE GALLAGHER OTR/L Individual | Mechanotherapist | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 682-7782 |
| 1386979409 | MARLEN I RODRIGUEZ MT-BC, NMT Individual | Music Therapist | 354 MERRIMACK ST 2ND FLOOR SUITE 270 LAWRENCE, MA 01843 (978) 291-0256 |
| 1205162989 | GWYNDOLYN M JONES MT-BC Individual | Music Therapist | 354 MERRIMACK ST BUILDING 1 SUITE 270 LAWRENCE, MA 01843 (617) 594-0569 |
| 1215246020 | HOMEFRONT MERRIMACK, LLC Organization | Clinic/Center (Adult Day Care) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 745-8505 |
| 1124014808 | DR. WILLIAM P MCCANN M.D. Individual | Neurological Surgery | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1497742985 | DR. JEFFREY A NORTON M.D. Individual | Anesthesiology (Pain Medicine) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1740276658 | DR. JENNIFER A GRILLO M.D. Individual | Psychiatry & Neurology (Neurology) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1023675923 | ROBERT GREGORY HILL PA-C Individual | Physician Assistant (Surgical) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1679566434 | THOMAS P CODY M.D. Individual | Physical Medicine & Rehabilitation | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1649267030 | ROBERT A MOVERMAN PH.D Individual | Psychologist (Clinical) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1932196128 | DR. HENRY Y TY M.D. Individual | Neurological Surgery | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1982691655 | DR. VLADAN P MILOSAVLJEVIC M.D. Individual | Psychiatry & Neurology (Neurology) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1225024128 | DR. BRUCE R COOK M.D. Individual | Neurological Surgery | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1558358689 | DR. MARC M SADOWSKY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1013070523 | DR. ANDREAS P SCHOECK MD Individual | Psychiatry & Neurology (Neurology) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1093944332 | JIRI BRABEC MD Individual | Psychiatry & Neurology (Neurology) | 354 MERRIMACK ST LAWRENCE, MA 01843 (978) 687-2321 |
| 1124250907 | ROBERT A MILLER MD Individual | Neurological Surgery | 354 MERRIMACK ST STE 1 LAWRENCE, MA 01843 (978) 687-2321 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619326725, enumerated in the NPI registry as an "individual" on June 09, 2016
The provider is located at 354 Merrimack St Lawrence, Ma 01843 and the phone number is (848) 702-6182
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider has more than 10 years of experience. He graduated from Rutgers, Robert Woood Johnson Medical School in 2016.
The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.47 with an average copayment of $33.61 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Laminectomy or laminotomy (partial removal of spine bones) and Spinal fusion.
The practitioner is affiliated to the following hospital(s): LAWRENCE GENERAL HOSPITAL, LOWELL GENERAL HOSPITAL, HOLY FAMILY HOSPITAL and ST JOSEPH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 09, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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