Pandeeswari Raveendran, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

231219 Issued in MA

Practice address

Caritas St. Elizabeth'S Medical Center
736 Cambridge Street
Brighton, MA 02135

Phone

(617) 562-5551

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VHM Services IncGroup PAC ID 4183637929, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• VHM Services, Inc.

  • Internal Medicine Physician
  • Framingham, MA
  • NPI 1508818618
  Medicare reassignment Care Compare group
• VHS Acquisition Subsidiary Number 9 Inc

  • Psychiatry Physician
  • Natick, MA
  • NPI 1356384101
  Medicare reassignment NPD
• Beacon Hospice, LLC

  • Community Based Hospice Care Agency
  • Marlborough, MA
  • NPI 1043335011
  NPD
• North Suffolk Community Services Inc.

  • Clinic/Center
  • East Boston, MA
  • NPI 1740209881
  NPD (past)
• VHS Acquisition Subsidiary Number 9 Inc

  • Psychiatric Hospital Unit
  • Natick, MA
  • NPI 1700858560
  NPD (past)
• VHS Acquisition Subsidiary Number 9 Inc

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Acquisition Subsidiary Number 9 Inc

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1124247267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DARTMOUTH ST",
            "address_2": "APT. #1009",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485112",
            "telephone_number": "617-562-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARITAS ST. ELIZABETH'S MEDICAL CENTER",
            "address_2": "736 CAMBRIDGE STREET",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-562-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEENDRAN",
        "first_name": "PANDEESWARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "231219",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "231219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Randall, ATC, MED
• Elise Ranger, LICSW
• Danielle Rant
• Gopikrishna Mitnala Rao, MD
• Gertrud M Rastalsky, M.D.
• Pavel Rayev, DMD
• Ellen Raymond
• Jolia Raymond, LMHC
• Syed Asif Razvi, M.D.
• Lauren Recchione, D.P.T

• Child & Adolescent Psychiatry Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.

Verify at the official NPI Registry.