Individual provider Active NPI

Rajasekhara R Ayyagari, MD

  • Vascular & Interventional Radiology Physician
  • Boston, MA
National Provider Identifier
1700906294
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
273880 Issued in MA
Practice address
840 Harrison Ave
Boston, MA 02118-2905
Phone
(617) 638-6610
Fax
(617) 638-6616
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 49631 CT
Vascular & Interventional Radiology Physician 2085R0204X 273880 MA Primary

Addresses

Primary practice location

840 Harrison Ave
Boston, MA 02118-2905

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

Other practice location 1

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-2665

Other practice location 2

10 Gove St
East Boston, MA 02128
Phone (617) 569-5800

Other practice location 3

100 Wason Ave Ste 120
Springfield, MA 01107-1179
Phone (413) 241-2100

Other practice location 4

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-2762

Other practice location 5

41 Mall Rd
Burlington, MA 01805-8042
Phone (781) 744-8000

Other identifiers 2

IdentifierTypeStateIssuer
110096612AMedicaidMA
3136322MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110607000224 CT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2769669480 Reassigns benefits to 2 organizations
I20220706002747 MA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2769669480 Reassigns benefits to 6 organizations
I20251031002957 ME Practitioner - Interventional Radiology 2769669480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Yale University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pioneer Valley Urology, PCGroup PAC ID 7214972207, 15 clinicians
Fore River Urology LLCGroup PAC ID 5799911566, 10 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Boston University Medical Center Radiologists, Inc.Group PAC ID 1052392768, 61 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Suite 120
Springfield, MA 01107-1119
Phone (413) 241-2100

15 Palomba Dr
Suite 7
Enfield, CT 06082-3853
Phone (413) 241-2100

21 Donald B Dean Dr
Suite 1
South Portland, ME 04106-3252
Phone (207) 518-6617

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49631CTMDVascular & Interventional Radiology Physician
273880MAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
New England Urology CurrentSince Oct 1, 2025 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 10, 2022 Accepting new patients
Pioneer Valley Urology, PC CurrentSince Mar 1, 2026 Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology CurrentSince Oct 3, 2023 Accepting new patients
Lahey Clinic, Inc CurrentSince Jun 10, 2022 Accepting new patients
Yale University CurrentSince Jul 1, 2011 Accepting new patients
Fore River Urology LLC CurrentSince Nov 1, 2025 Accepting new patients
BMC Affiliated Physicians, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Yale University Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology PastSince Mar 1, 2026 Accepting new patients

Locations

140 Hazard Ave
Ste 103
Enfield, CT 06082
Phone (413) 241-2100

15 Palomba Dr
Ste 7
Enfield, CT 06082

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

900 Cummings Ctr
Ste 117T
Beverly, MA 01915
Phone (978) 232-9400

960 Massachusetts Ave
Ste 2
Boston, MA 02118

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

100 Wason Ave
Ste 120
Springfield, MA 01107
Phone (413) 241-2100

21 Donald B Dean Dr
#1
South Portland, ME 04106
Phone (207) 518-6617

Interoperability endpoints

  • Direct secure messaging: rajasekhara.ayyagari.1@7607.direct.athenahealth.com
  • Direct secure messaging: rayyagari238127@direct.bmc.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/7607/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60885
  • Direct secure messaging: rayyagari64391@direct.ynhh.org

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1700906294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182905",
            "telephone_number": "617-638-6610",
            "fax_number": "617-638-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-2665",
            "fax_number": "508-427-2368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "02128",
            "country_code": "US",
            "telephone_number": "617-569-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wason Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071179",
            "country_code": "US",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-789-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018058042",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYYAGARI",
        "first_name": "RAJASEKHARA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "49631",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "273880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110096612A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136322",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.