Active NPI
Anuradha M Bhimavarapu, M.D.
- Pediatrics Physician
- Randolph, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 155695
- Practice address
- 25 Warren St
Randolph, MA 02368-4015 - Phone
- (781) 986-7900
- Fax
- (508) 894-0412
- NPI assigned
- May 30, 2006
- Last updated
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 155695 | MA | Primary |
Addresses
Primary practice location
25 Warren St
Randolph, MA 02368-4015
Mailing address
25 Warren St
Randolph, MA 02368-4015
Phone (781) 986-7800
Other practice location 1
179, quincy street, Brockton, MA 02302
Braintree Allied Pediatrics P.C.,
Braintree, MA02184, MA 02184
Phone (781) 849-1215
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Hospital, Inc. | Current | Accepting new patients | |
| Brockton Hospital, Inc. | Current | Accepting new patients | |
| Signature Healthcare Medical Group Inc | Pediatrics | Current | Accepting new patients |
Locations
179 Quincy St
Brockton, MA 02302
Phone (508) 427-7700
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
25 Warren St
Randolph, MA 02368
Phone (781) 986-7800
1524 Turnpike St
Stoughton, MA 02072
Phone (781) 886-3020
Interoperability endpoints
- anuradha.bhimavarapu@direct.signature.masshiway.net
Organizations & group practices 3
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.
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Pediatrics
-
dba Signature Healthcare Pharmacy - EB
- Community/Retail Pharmacy
- East Bridgewater, MA
- NPI 1033084462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1447207691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WARREN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684015",
"telephone_number": "781-986-7800",
"fax_number": "508-894-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WARREN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684015",
"telephone_number": "781-986-7900",
"fax_number": "508-894-0412"
}
],
"practiceLocations": [
{
"address_1": "179, quincy street, Brockton, MA 02302",
"address_2": "Braintree Allied Pediatrics P.C.,",
"address_purpose": "LOCATION",
"city": "Braintree, MA02184",
"state": "MA",
"postal_code": "02184",
"country_code": "US",
"telephone_number": "781-849-1215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHIMAVARAPU",
"first_name": "ANURADHA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "155695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.