Individual provider Active NPI

Bhagyalaxmi Satishchandra, MD

  • Anesthesiology Physician
  • Shrewsbury, MA
National Provider Identifier
1255390514
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
75958 Issued in MA
Practice address
12 Saxon LN
Shrewsbury, MA 01545-1652
Phone
(508) 736-2088
NPI assigned
Mar 23, 2006
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 75958 MA Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 75958 MA

Addresses

Primary practice location

12 Saxon LN
Shrewsbury, MA 01545-1652

Mailing address

12 Saxon LN
Shrewsbury, MA 01545-1652

Other identifiers 1

IdentifierTypeStateIssuer
110049698AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75958MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Anesthesiology PastSince Aug 17, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1255390514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SAXON LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SAXON LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451652",
            "telephone_number": "508-736-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATISHCHANDRA",
        "first_name": "BHAGYALAXMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "75958",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MA",
            "license": "75958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110049698A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.