Individual provider Active NPI

Vithya Balasubramaniam Rodriguez, M.D.

  • Psychiatry Physician
  • Newton, MA
National Provider Identifier
1144529546
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
261240 Issued in MA
Practice address
797 Washington St Ste 4
Newton, MA 02460-1634
Phone
(617) 340-9732
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 261240 MA Primary

Addresses

Primary practice location

797 Washington St Ste 4
Newton, MA 02460-1634

Mailing address

797 Washington St Ste 4
Newton, MA 02460-1634
Phone (617) 340-9732

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150720001399 MA Practitioner - Psychiatry 6608016431 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261240MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vithya Rodriguez, M.D., PLLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Vithya Rodriguez MD LLC Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2015 Accepting new patients

Locations

1515 N University Dr
Ste 203
Coral Springs, FL 33071
Phone (954) 341-7778

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

20 Muzzey St
Ste 3
Lexington, MA 02421
Phone (617) 340-9732

Interoperability endpoints

  • Direct secure messaging: vrodriguez254288@direct.bilh.masshiway.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1144529546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 WASHINGTON ST STE 4",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601634",
            "telephone_number": "617-340-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 WASHINGTON ST STE 4",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601634",
            "telephone_number": "617-340-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VITHYA",
        "middle_name": "BALASUBRAMANIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "261240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.