Active NPI
Pruthvi Raj Velamala, MD
- Internal Medicine Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1018531
- Practice address
- 123 Summer St
Worcester, MA 01608-1216 - Phone
- (508) 363-6040
- NPI assigned
- Jun 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1018531 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 276212 | MA |
Addresses
Primary practice location
123 Summer St
Worcester, MA 01608-1216
Mailing address
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-6040
Other practice location 1
480 Maple St Ste 1
Danvers, MA 01923-4067
Phone (978) 304-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- 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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276212 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of NH, LLC | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
480 Maple St
Ste 1
Danvers, MA 01923
Phone (978) 304-8360
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
Interoperability endpoints
- pvelamala461298@direct.bilh.masshiway.net
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
- Gloucester, MA
- NPI 1235147760
-
- Urology Physician
- Burlington, MA
- NPI 1427161660
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1114411154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6040"
}
],
"practiceLocations": [
{
"address_1": "480 Maple St Ste 1",
"address_purpose": "LOCATION",
"city": "Danvers",
"state": "MA",
"postal_code": "019234067",
"country_code": "US",
"telephone_number": "978-304-8401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAMALA",
"first_name": "PRUTHVI RAJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "1018531",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "276212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.