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Dr. Soheil S Dadras , MD

Pathology - Anatomic Pathology โ€ข Worcester, MA

Active NPI 1558403311 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 5087936100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5087936100
Fax 5087936110
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Farmington, CT; Worcester, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Umass Memorial Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Northwestern University Feinberg Medical School

Graduation Year

2000

Medicare patients

787 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $53,624 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $41,237 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Dadras has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Dadras as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Worcester and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Pathology - Anatomic Pathology in Worcester, MA (2024, 27 clinicians with data). Median for this group: 1,637. Middle half: 1,203 to 2,516.

Close to the middle for clinicians listed under Pathology - Anatomic Pathology in Massachusetts (2024, 157 clinicians with data). Median for this group: 1,346. Middle half: 629 to 2,282.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Pathology - Anatomic Pathology in Worcester, MA (2024, 27 clinicians with data). Median for this group: $59,833. Middle half: $48,749 to $91,693.

Close to the middle for clinicians listed under Pathology - Anatomic Pathology in Massachusetts (2024, 157 clinicians with data). Median for this group: $53,176. Middle half: $26,435 to $86,990.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Pathology - Anatomic Pathology in Worcester, MA (2024, 27 clinicians with data). Median for this group: $44,945. Middle half: $37,935 to $71,978.

Close to the middle for clinicians listed under Pathology - Anatomic Pathology in Massachusetts (2024, 157 clinicians with data). Median for this group: $41,704. Middle half: $20,703 to $68,820.

40 active clinicians are listed under Pathology - Anatomic Pathology with a practice address in Worcester, MA (278 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

0% of these 40 clinicians have the CMS telehealth indicator.

67.5% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
862 539 $268.00 $36.46
88305 Pathology examination of tissue using a microscope, intermediate complexity
188 129 $268.00 $36.40
88341 Special stained specimen slides to examine tissue, each additional procedure
119 52 $101.00 $27.26
88342 Special stained specimen slides to examine tissue, initial procedure
78 72 $205.00 $34.06
88312 Special stained specimen slides to identify organisms including interpretation and report
65 43 $124.00 $26.02
88341 Special stained specimen slides to examine tissue, each additional procedure
54 21 $101.00 $27.23
88304 Pathology examination of tissue using a microscope, moderately low complexity
48 41 $173.00 $11.10
G0452 Molecular pathology procedure; physician interpretation and report
48 46 $134.00 $46.31
88312 Special stained specimen slides to identify organisms including interpretation and report
36 17 $124.00 $25.84
88342 Special stained specimen slides to examine tissue, initial procedure
24 23 $205.00 $33.33
88321 Surgical pathology consultation and report on referred slides prepared elsewhere
22 21 $343.00 $82.01

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-30
Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

License # reported to NPPES MA 222785

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

License # reported to NPPES CT 047989

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Pathology - Dermatopathology

NUCC Taxonomy Code: 207ZD0900X

License # reported to NPPES CT 047989

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Pathology - Anatomic Pathology

NUCC Taxonomy Code: 207ZP0101X

License # reported to NPPES CT 047989

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1558403311 (CT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PATHOLOGY

Medicare Enrollment ID

I20230713000439

Enrollment State Jurisdiction

MA

PECOS Control ID

1850324351

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Umass Memorial Medical Group Inc

1 Innovation Dr, Worcester, MA 016054307

Phone: 5087936100

Secondary Practice Locations

21 South Rd, Dermatopathology Lab

Farmington, CT 060322482

Phone: 8606796286

1 Innovation Dr

Worcester, MA 016054307

Phone: 5087936100

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Dr. Ali Akalin , MD

Pathology - Anatomic Pathology

NPI 1538218342

Doctor of Medicine (M.D.)

Dr. Sonali Ayar , MD

Pathology - Anatomic Pathology

NPI 1538315247

Doctor of Medicine (M.D.)

Dr. Gamze Ayata , MD

Pathology - Anatomic Pathology

NPI 1710977046

Doctor of Medicine (M.D.)

Dr. Shi Bai , MD

Pathology - Anatomic Pathology

NPI 1447781927

Doctor of Medicine (M.D.)

Dr. Ikjot Bhutani , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1801185335

Doctor of Medicine (M.D.)

Dr. Jennifer Clark , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1861819716

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location June 30, 2023

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5087936100)

๐Ÿ“
Updated Business Mailing Address June 30, 2023

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258882)

โœ…
NPI Profile Active January 14, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 14, 2013

Registered at 21 SOUTH RD, DERMATOPATHOLOGY LAB, FARMINGTON, CT 060322482 (Tel: 8606796286)

๐Ÿ“
Business Mailing Address (Initial Record) January 14, 2013

Registered at 263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 060302212 (Tel: 8606797503)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 14, 2013

Recorded as SOHEIL DADRAS, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2013

Dermatology (license number reported to NPPES: CT 047989)

๐ŸŸข
Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558403311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: June 30, 2023
Sole Proprietor: No

Other Pathology - Anatomic Pathology Specialists in Worcester

All Pathology - Anatomic Pathology Specialists in Worcester

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258882

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.