Individual provider Active NPI

Archana Sasi, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1619734464
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DMCR19550 Issued in ZZ
Practice address
Division of Leukemia, Dana Farber Cancer Institute
450 Brookline Avenue, D2051
Boston, MA 02215
Phone
(617) 582-8410
Fax
(617) 632-2933
NPI assigned
Feb 28, 2024
Reactivated
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DMCR19550 ZZ Primary

Addresses

Primary practice location

Division of Leukemia, Dana Farber Cancer Institute
450 Brookline Avenue, D2051
Boston, MA 02215

Mailing address

Division of Leukemia, Dana Farber Cancer Institute
450 Brookline Avenue, D2051
Boston, MA 02215
Phone (617) 582-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DMCR19550ZZMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1619734464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DIVISION OF LEUKEMIA, DANA FARBER CANCER INSTITUTE",
            "address_2": "450 BROOKLINE AVENUE, D2051",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-582-8410",
            "fax_number": "617-632-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIVISION OF LEUKEMIA, DANA FARBER CANCER INSTITUTE",
            "address_2": "450 BROOKLINE AVENUE, D2051",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-582-8410",
            "fax_number": "617-632-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASI",
        "first_name": "ARCHANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-10-17",
        "deactivation_date": "2024-10-04",
        "reactivation_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ZZ",
            "license": "DMCR19550",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2024; 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.