Individual provider Active NPI

Omkar Ulhas Vaidya, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1518117670
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
294382 Issued in MA
Practice address
50 Congress St Ste 642
Boston, MA 02109-4046
Phone
(617) 513-8568
Fax
(913) 400-3631
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 2013031938 MO
Internal Medicine Physician 207R00000X 04-37306 KS
Nephrology Physician 207RN0300X MD2021-0683 NM
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X 2013031938 MO
Internal Medicine Physician 207R00000X 294382 MA Primary

Addresses

Primary practice location

50 Congress St Ste 642
Boston, MA 02109-4046

Mailing address

8010 State Line Rd Ste 100
Prairie Village, KS 66208-3711
Phone (913) 400-3957

Other practice location 1

65 Harrison Ave Ste 201
Boston, MA 02111-1924
Phone (617) 513-8568

Other practice location 2

407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101
Phone (617) 513-8568

Other practice location 3

8010 State Line Rd Ste 100
Prairie Village, KS 66208-3711
Phone (617) 513-8568

Other names 1

  • Dr. Omkar Ulhas Vaidya Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, MI, NM, TX, MA, LA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20140602000496 MO Practitioner - NephrologyPractitioner - Internal Medicine 0547483083 Reassigns benefits to 3 organizations
I20140909000303 KS Practitioner - NephrologyPractitioner - Internal Medicine 0547483083 Reassigns benefits to 1 organization
I20220124001120 MI Practitioner - Internal Medicine 0547483083 Reassigns benefits to 1 organization
I20220126000492 NM Practitioner - Nephrology 0547483083 Reassigns benefits to 2 organizations
I20220309001686 TX Practitioner - Internal Medicine 0547483083 Reassigns benefits to 1 organization
I20230629002383 MA Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 0547483083 Reassigns benefits to 7 organizations
I20260116001039 LA Practitioner - Nephrology 0547483083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

400 W Cummings Park
Suite 4800B
Woburn, MA 01801-6519
Phone (617) 513-8568

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

407 Burkarth Rd
Suite 302
Warrensburg, MO 64093-3101
Phone (913) 400-3957

50 Congress St
Suite 620
Boston, MA 02109-4044
Phone (617) 513-8568

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

8010 State Line Rd
Suite 100
Prairie Village, KS 66208-3711
Phone (617) 513-8568

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013031938MOMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 1 of East Baton Rouge Parish Multi-Specialty CurrentSince Dec 10, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Multi-Specialty Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Jordan Physician Associates, Inc. Multi-Specialty CurrentSince Jan 12, 2024 Accepting new patients
Western Missouri Medical Center Multi-Specialty Current Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Multi-Specialty CurrentSince Dec 10, 2025 Accepting new patients
Southwest Medical Associates, LLC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Coastal Medical Associates Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Sierra Vista Hospital Multi-Specialty CurrentSince Apr 4, 2022 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Multi-Specialty Current Accepting new patients
Arena Care and Wellness, LLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Hillsdale Community Health Center Multi-Specialty CurrentSince Dec 1, 2021 Accepting new patients
Jordan Physician Associates, Inc. Multi-Specialty CurrentSince Jan 12, 2024 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Southwest Medical Associates, LLC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Western Missouri Medical Center Single Specialty CurrentSince Apr 1, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Multi-Specialty CurrentSince Nov 17, 2021 Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Beth Israel Deaconess Hospital Plymouth, Inc. Family Medicine Past Accepting new patients

Locations

8010 State Line Rd
Ste 100
Shawnee Mission, KS 66208
Phone (617) 513-8568

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

50 Congress St
Ste 642
Boston, MA 02109
Phone (617) 513-8568

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

50 Congress St
Ste 620
Boston, MA 02109
Phone (617) 513-8568

65 Harrison Ave
Ste 201
Boston, MA 02111
Phone (617) 804-6767

330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

400 W Cummings Park
Ste 4800
Woburn, MA 01801
Phone (617) 513-8568

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

427 Burkarth Rd
Ste C
Warrensburg, MO 64093
Phone (660) 262-7393

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: ovaidya253441@direct.bilh.masshiway.net
  • Direct secure messaging: ovaidya5345316@direct.casso.us.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1518117670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 STATE LINE RD STE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083711",
            "telephone_number": "913-400-3957",
            "fax_number": "913-400-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CONGRESS ST STE 642",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094046",
            "telephone_number": "617-513-8568",
            "fax_number": "913-400-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Harrison Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111924",
            "country_code": "US",
            "telephone_number": "617-513-8568",
            "fax_number": "913-400-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Burkarth Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "MO",
            "postal_code": "640933101",
            "country_code": "US",
            "telephone_number": "617-513-8568",
            "fax_number": "913-400-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8010 State Line Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662083711",
            "country_code": "US",
            "telephone_number": "617-513-8568",
            "fax_number": "913-400-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "OMKAR",
        "middle_name": "ULHAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2013031938",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-37306",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2021-0683",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2013031938",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "294382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMKAR",
            "last_name": "VAIDYA",
            "middle_name": "ULHAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.