NPIMap

Organization Active NPI

Dasari Medical Associates, LLC

  • Internal Medicine Physician
  • Sharon, MA
National Provider Identifier
1407924798
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80224 Issued in MA
Legal business name
DASARI MEDICAL ASSOCIATES, LLC
Practice address
14 Sandpiper Way
Sharon, MA 02067-1536
Phone
(781) 784-9913
Fax
(781) 784-2368
NPI assigned
Dec 2, 2006
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Padma Dasari, M.D.
Title
Owner Manager
Phone
(781) 784-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 80224 MA Primary

Addresses

Primary practice location

14 Sandpiper Way
Sharon, MA 02067-1536

Mailing address

14 Sandpiper Way
Sharon, MA 02067-1536
Phone (781) 784-9913

Other identifiers 7

IdentifierTypeStateIssuer
DAA20200OtherMABCBSMA
M18858OtherMABCBSMA GROUP
110055984AOtherMAMASS HEALTH
791424OtherMATUFTS
3140466MedicaidMA
699999OtherMAHARVARD PILGRIM
M21524OtherMAMEDICARE GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1407924798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SANDPIPER WAY",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671536",
            "telephone_number": "781-784-9913",
            "fax_number": "781-784-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SANDPIPER WAY",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671536",
            "telephone_number": "781-784-9913",
            "fax_number": "781-784-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASARI MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "781-784-9913",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "DAA20200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA GROUP",
            "identifier": "M18858",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "110055984A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "791424",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140466",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "699999",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "M21524",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.