Individual provider Active NPI

Arjun Bashyam, MD

  • Dermatology Physician
  • Worcester, MA
National Provider Identifier
1699354100
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1028279 Issued in MA
Practice address
255 Park Ave Ste 509
Worcester, MA 01609-1989
Phone
(508) 890-5500
NPI assigned
Apr 3, 2021
Last updated
Jul 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1028279 MA Primary
Dermatopathology Physician 207ND0900X 1028279 MA

Addresses

Primary practice location

255 Park Ave Ste 509
Worcester, MA 01609-1989

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-3392

Other practice location 1

1101 Beacon St Ste 1E
Brookline, MA 02446-5587
Phone (617) 731-2390

Other practice location 2

1822 N Main St Ste 302
Fall River, MA 02720-1350
Phone (508) 235-1118

Medicare participation

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

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1699354100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 509",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091989",
            "telephone_number": "508-890-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Beacon St Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465587",
            "country_code": "US",
            "telephone_number": "617-731-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1822 N Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027201350",
            "country_code": "US",
            "telephone_number": "508-235-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHYAM",
        "first_name": "ARJUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1028279",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "1028279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.