Active NPI
NR Chandrasekar, M.D.
- Plastic Surgery Physician
- Canton, MA
National Provider Identifier
1023084167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 150595
- Practice address
- 25 Colts Xing
Canton, MA 02021-1367 - Phone
- (617) 285-9780
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 150595 | MA | Primary |
Addresses
Primary practice location
25 Colts Xing
Canton, MA 02021-1367
Mailing address
25 Colts Xing
Canton, MA 02021-1367
Phone (617) 285-9780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3178579 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150595 | MA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Auburn Professional Services Inc | Past | Accepting new patients | |
| Boston University Plastic Surgery Associates, Inc. | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Boston, MA
- NPI 1740228360
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1023084167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 COLTS XING",
"city": "CANTON",
"state": "MA",
"postal_code": "020211367",
"telephone_number": "617-285-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COLTS XING",
"city": "CANTON",
"state": "MA",
"postal_code": "020211367",
"telephone_number": "617-285-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKAR",
"first_name": "NR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "150595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3178579",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.