Active NPI
Vasudha Mahajan, MBBS
- Pediatrics Physician
- Jamaica Plain, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 283091
- Practice address
- 75 Bickford St
Jamaica Plain, MA 02130-1401 - Phone
- (617) 971-2100
- NPI assigned
- Jul 11, 2014
- 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 | 283091 | MA | Primary |
Addresses
Primary practice location
75 Bickford St
Jamaica Plain, MA 02130-1401
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55015 | KY | MD | Pediatrics Physician |
| BP1-0050285 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Pinnacle Enterprises PC | Pediatrics | Past | Accepting new patients |
Locations (25 of 27)
6411 Veterans Memorial Pkwy
Ste 200
Crestwood, KY 40014
Phone (502) 394-6555
1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107
202 Limestone St S
Ste 1
Frankfort, KY 40601
4 Physicians Park
Frankfort, KY 40601
Phone (502) 223-8400
2933 Breckenridge Ln
Ste 102
Louisville, KY 40220
Phone (502) 588-9588
2225 W Broadway
Ste B
Louisville, KY 40211
Phone (502) 588-1090
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901
7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811
3840 Ruckriegel Pkwy
Ste 105
Louisville, KY 40299
Phone (502) 261-7227
4010 DuPont Cir
Ste 283
Louisville, KY 40207
Phone (502) 897-1727
3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
411 E Chestnut St
#1
Louisville, KY 40202
Phone (502) 588-3440
1169 Eastern Pkwy
Ste 100
Louisville, KY 40217
Phone (502) 588-0700
5109 New Cut Rd
Louisville, KY 40214
Phone (502) 361-1197
9702 Stonestreet Rd
Ste 100
Louisville, KY 40272
Phone (502) 588-0610
100 Mallard Creek Rd
Ste 395
Louisville, KY 40207
Phone (502) 895-9421
5721 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1144
5211 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 966-3918
4884 Brownsboro Rd
Louisville, KY 40207
Phone (502) 896-4459
189 Outer Loop
Ste 2
Louisville, KY 40214
Phone (502) 379-8870
217 Breckenridge Ln
Louisville, KY 40207
Phone (502) 895-1900
9880 Angies Way
Ste 400
Louisville, KY 40241
Phone (502) 394-6500
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
Interoperability endpoints
- vmahajan209011@direct.nortonhealthcare.org
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1689081515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BICKFORD ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301401",
"telephone_number": "617-971-2100"
}
],
"practiceLocations": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHAJAN",
"first_name": "VASUDHA",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "283091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.