Individual provider Active NPI

Vaidyanathapuram Balakrishnan, M.D.

  • Nephrology Physician
  • Brighton, MA
National Provider Identifier
1326095548
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
204354 Issued in MA
Practice address
11 Nevins St.
Suite 202 Semc - Medical Specialties Practice
Brighton, MA 02135
Phone
(617) 779-6700
Fax
(617) 779-6771
NPI assigned
May 31, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 204354 MA Primary

Addresses

Primary practice location

11 Nevins St.
Suite 202 Semc - Medical Specialties Practice
Brighton, MA 02135

Mailing address

Bmchs Provider Enrollment
960 Massachusetts Ave FLR 2
Boston, MA 02118

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
I20040812000287 MA Practitioner - NephrologyPractitioner - Internal Medicine 8628040300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Steward St Elizabeths Medical Center of Boston IncGroup PAC ID 3476749540, 9 clinicians

Practice addresses (Care Compare)

11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

77 Warren St
Brighton, MA 02135-3601

77 Warren St 1St Floor
St Elizabeths Health Care at BMHC
Brighton, MA 02135-3601

77 Warren St 1St Floor and 2ND Floor
St Elizabeths Health Care at BMHC
Brighton, MA 02135-3601
Phone (617) 562-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward St. Elizabeth's Medical Center of Boston, Inc. CurrentSince Dec 7, 2014 Accepting new patients
BMC Affiliated Physicians, Inc. Nephrology CurrentSince Apr 1, 2025 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Dec 23, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 21, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 21, 2014 Accepting new patients
Steward St. Elizabeth's Medical Center of Boston, Inc. CurrentSince Dec 7, 2014 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Ste 202
Brighton, MA 02135
Phone (617) 254-9991

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

77 Warren St
Fl 2
Brighton, MA 02135
Phone (617) 562-5525

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

60 East St
Ste 1400
Methuen, MA 01844
Phone (617) 202-6001

18 Main St
Ste 104
Townsend, MA 01469
Phone (978) 597-9091

Interoperability endpoints

  • Direct secure messaging: vaidyanathapuram.balakrishnan.1@2017.direct.athenahealth.com
  • Direct secure messaging: vbalakrishnan252298@direct.bmc.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1326095548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMCHS PROVIDER ENROLLMENT",
            "address_2": "960 MASSACHUSETTS AVE FLR 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST.",
            "address_2": "SUITE 202 SEMC - MEDICAL SPECIALTIES PRACTICE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-779-6700",
            "fax_number": "617-779-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "VAIDYANATHAPURAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "204354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.