Individual provider Active NPI

Sangeeta T Pradhan, RD

  • Registered Dietitian
  • Framingham, MA
National Provider Identifier
1275780538
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1639 Issued in MA
Practice address
600 Worcester Rd Ste 303
Framingham, MA 01702-5316
Phone
(508) 848-2227
Fax
(508) 319-1606
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1639 MA Primary

Addresses

Primary practice location

600 Worcester Rd Ste 303
Framingham, MA 01702-5316

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pradhan.Sangeeta.CRM@direct.partners.masshiway.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000140 MA Practitioner - Registered Dietitian Or Nutrition Professional 5991863912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charles River Medical Associates, PCGroup PAC ID 3476630450, 118 clinicians

Practice addresses (Care Compare)

336 Union Ave
Framingham, MA 01702-6355
Phone (508) 872-2002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1639MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Kellie Berry Nutrition Inc Dietitian, Registered CurrentSince Oct 1, 2022 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Charles River Medical Associates, PC Past Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

2 Courthouse Ln
Ste 10
Chelmsford, MA 01824
Phone (978) 332-6893

600 Worcester Rd
Ste 303
Framingham, MA 01702
Phone (508) 848-2227

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

571 Union Ave
Framingham, MA 01702
Phone (508) 879-8556

336 Union Ave
Framingham, MA 01702
Phone (508) 872-2002

83 Speen St
Natick, MA 01760
Phone (508) 907-6543

Interoperability endpoints

  • Direct secure messaging: pradhan.sangeeta.crm@direct.partners.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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1275780538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WORCESTER RD STE 303",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025316",
            "telephone_number": "508-848-2227",
            "fax_number": "508-319-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "SANGEETA",
        "middle_name": "T",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pradhan.Sangeeta.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "600 Worcester Rd Ste 303",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017025316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.