Active NPI
Archana Vasudevan, DO
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1053738286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 272178
- Practice address
- 801 Massachusetts Ave
Crosstown 2
Boston, MA 02118-0211 - Phone
- (617) 414-7399
- Fax
- (617) 414-9201
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 272178 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 06186 | KY | |
| Hospitalist Physician | 208M00000X | 272178 | MA |
Addresses
Primary practice location
801 Massachusetts Ave
Crosstown 2
Boston, MA 02118-0211
Mailing address
801 Albany St FL Ground
Boston, MA 02119-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444
Hospital & facility affiliations
- Mercy Health - Lourdes Hospital
- Preston Memorial Hospital
- Baptist Health Paducah
- Lourdes Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06186 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Hospital Medicine Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Health-Lourdes Hospital LLC | Past | Accepting new patients | |
| Boston Medical Center Corporation | Past | Accepting new patients |
Locations
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Paducah, KY
- NPI 1215604236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- Rehabilitation Hospital Unit
- Paducah, KY
- NPI 1417951468
Inpatient rehabilitation facility
-
- Critical Access Hospital
- Kingwood, WV
- NPI 1013950054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1053738286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY ST FL GROUND",
"city": "BOSTON",
"state": "MA",
"postal_code": "021192560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MASSACHUSETTS AVE",
"address_2": "CROSSTOWN 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021180211",
"telephone_number": "617-414-7399",
"fax_number": "617-414-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASUDEVAN",
"first_name": "ARCHANA",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "272178",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "06186",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "272178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.