Aditya Achanta
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Boston, MA
NPI 1154907152 · NPPES record last updated Feb 15, 2024
Key facts
- NPI
- 1154907152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 726-2000
- NPI assigned
- Mar 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314000938 | MA | Practitioner - Internal Medicine | 7719381318 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrosewakefield Healthcare, Inc. | Current |
Accepting new patients | |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Hallmark Health System Inc | Current |
Accepting new patients |
Locations
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Gray Bigelow 7-730
Boston, MA 02114-2621
Phone (617) 643-0667
Other practice location 1
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Other providers in Boston, MA
- Jose J. Acevedo Mejia
- Celeith Yaneth Acevedo Moros
- Emilys Acevedo
- Marielys Acevedo
- Marisa Celine Acevedo
- Pooja Marella Achanta
- Maitri Vibhas Acharekar
- Bijay Acharya
- Deepa Acharya
- Lily Acheampomaa-Piasare
All providers in Boston, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.