Active NPI
Vinod Easwaran Nambudiri, M.D., M.B.A.
- Dermatology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 265544
- Practice address
- 221 Longwood Ave
Boston, MA 02115-5804 - Phone
- (617) 732-4918
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 244742 | MA | |
| Dermatology Physician | 207N00000X | 265544 | MA | Primary |
Addresses
Primary practice location
221 Longwood Ave
Boston, MA 02115-5804
Mailing address
221 Longwood Ave
Boston, MA 02115-5804
Other practice location 1
50 Staniford St
Boston, MA 02114-2517
Phone (617) 726-2914
Other practice location 2
839 82nd Pkwy
Myrtle Beach, SC 29572-4614
Phone (843) 236-1950
Other practice location 3
839 82nd Pkwy
Myrtle Beach, SC 29572-4614
Phone (843) 236-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038739800 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Harvard Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3586
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
- Dana-Farber Cancer Institute
- Brigham and Women Faulkner Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 575 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265544 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Dermatology | Current | Accepting new patients |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Brigham & Womens Hospital, Inc. | Past | Accepting new patients |
Locations
221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918
75 Francis St
Boston, MA 02115
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
Interoperability endpoints
- nambudiri.vinod.dfci@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Dermatology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Special Hospital
- Boston, MA
- NPI 1346433257
-
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1386964237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155804",
"telephone_number": "617-732-4918"
}
],
"practiceLocations": [
{
"address_1": "50 Staniford St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142517",
"country_code": "US",
"telephone_number": "617-726-2914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "839 82nd Pkwy",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724614",
"country_code": "US",
"telephone_number": "843-236-1950",
"fax_number": "843-236-1952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "839 82nd Pkwy",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724614",
"country_code": "US",
"telephone_number": "843-236-1950",
"fax_number": "843-236-1952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAMBUDIRI",
"first_name": "VINOD",
"middle_name": "EASWARAN",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "244742",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "265544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038739800",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.