Active NPI
Soma M Brahmanandam, M.D.
- Surgery Physician
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 230626
- Practice address
- 15 Redbud Way
Apt. #23
Marlborough, MA 01752 - Phone
- (508) 277-1985
- NPI assigned
- Dec 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 230626 | MA | Primary |
Addresses
Primary practice location
15 Redbud Way
Apt. #23
Marlborough, MA 01752
Mailing address
15 Redbud Way
Apt. #23
Marlborough, MA 01752
Phone (508) 277-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, 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
- Vascular Surgery
- Education
- Warren Alpert Medical School of Brown University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
777 N St
Berkshire Surgical Services of BMC
Pittsfield, MA 01201-4147
Phone (413) 445-6420
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230626 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Fairview Hospital | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Hillcrest Family Health Center | Surgery | Past | Accepting new patients |
Locations
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
777 North St
Ste 201A
Pittsfield, MA 01201
Phone (413) 499-8551
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
3711 Queens Blvd
Long Island City, NY 11101
Phone (718) 361-5100
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
10 Union Sq E
Ste 2P
New York, NY 10003
Phone (212) 844-8200
150 E 42nd St
New York, NY 10017
Phone (212) 661-8139
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- somabrahmanandam@bfs.medalliesdirect.net
Organizations & group practices 15
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.
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Surgery Physician
- New York, NY
- NPI 1104295716
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
Surgery
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
- Internal Medicine Physician
- New York, NY
- NPI 1568868834
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1164586392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 REDBUD WAY",
"address_2": "APT. #23",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "01752",
"telephone_number": "508-277-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REDBUD WAY",
"address_2": "APT. #23",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "01752",
"telephone_number": "508-277-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAHMANANDAM",
"first_name": "SOMA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "230626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.