Active NPI
Vanpat Pensuwan, MD
- Family Medicine Physician
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 287616
- Practice address
- 26 Central St
Somerville, MA 02143-2827 - Phone
- (617) 665-3370
- NPI assigned
- May 14, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 287616 | MA | Primary |
Addresses
Primary practice location
26 Central St
Somerville, MA 02143-2827
Mailing address
26 Central St
Somerville, MA 02143-2827
Other practice location 1
195 Canal St
Malden, MA 02148-6701
Phone (781) 338-0500
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
- Family Practice
- Education
- Rutgers, Robert Woood Johnson Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270
195 Canal St
Malden, MA 02148-6701
Phone (781) 338-0500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
195 Canal St
Malden, MA 02148
Phone (781) 338-0055
1 Cabot Rd
Fl 2
Medford, MA 02155
Phone (617) 591-6840
26 Central St
Somerville, MA 02143
Phone (617) 591-6033
Interoperability endpoints
- vpensuwan85493@direct.challiance.masshiway.net
Organizations & group practices 2
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.
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1487144689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CENTRAL ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CENTRAL ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021432827",
"telephone_number": "617-665-3370"
}
],
"practiceLocations": [
{
"address_1": "195 Canal St",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021486701",
"country_code": "US",
"telephone_number": "781-338-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENSUWAN",
"first_name": "VANPAT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "287616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.