Individual provider Active NPI

Vikram Kambampati, MD

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1336352624
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
253694 Issued in MA
Practice address
279 Lincoln St
Dept. of Psychiatry
Worcester, MA 01605-2120
Phone
(508) 334-5393
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57010874 OH
Psychiatry Physician 2084P0800X 253694 MA Primary

Addresses

Primary practice location

279 Lincoln St
Dept. of Psychiatry
Worcester, MA 01605-2120

Mailing address

10 Mather St
Boston, MA 02124-2324

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
I20141110000033 MA Practitioner - Psychiatry 9335227586 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57010874OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Jun 20, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 13, 2015 Accepting new patients
Cambridge Public Health Commission CurrentSince Jun 20, 2022 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 13, 2015 Accepting new patients
Mental Health Association, Inc. PastSince Mar 24, 2025 Accepting new patients

Locations

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

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

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

62 Brown St
#507
Haverhill, MA 01830
Phone (978) 722-7818

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

Interoperability endpoints

  • Direct secure messaging: vkambampati28715@tuftsmedicine.direct-ci.com

Organizations & group practices 7

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1336352624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MATHER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 LINCOLN ST",
            "address_2": "DEPT. OF PSYCHIATRY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052120",
            "telephone_number": "508-334-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBAMPATI",
        "first_name": "VIKRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "57010874",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "253694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.