Individual provider Active NPI

Vasudha Mahajan, MBBS

  • Pediatrics Physician
  • Jamaica Plain, MA
National Provider Identifier
1689081515
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
283091 Issued in MA
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

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622002600 KY Practitioner - Pediatric Medicine 8325449887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55015KYMDPediatrics Physician
BP1-0050285TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Jun 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.