Individual provider Active NPI

Meenakshi Vemuri, M.D.

  • Psychiatry Physician
  • Sturbridge, MA
National Provider Identifier
1720066343
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
204591 Issued in MA
Practice address
258 Main St
Sturbridge, MA 01566-1540
Phone
(508) 418-6888
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 204591 MA Primary

Addresses

Primary practice location

258 Main St
Sturbridge, MA 01566-1540

Mailing address

258 Main St
Sturbridge, MA 01566-1540
Phone (508) 418-6888

Other identifiers 1

IdentifierTypeStateIssuer
110002189AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080430000421 MA Practitioner - Psychiatry 0840378030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts Psychiatric Services LLCGroup PAC ID 4082983911, 13 clinicians

Practice addresses (Care Compare)

258 Main St
Sturbridge, MA 01566-1540
Phone 5084186888206

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (844) 727-9794

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. CurrentSince Jul 30, 2023 Accepting new patients
Vinfen Corporation CurrentSince Apr 2, 2024 Accepting new patients
University of Massachusetts Past Accepting new patients

Locations

950 Cambridge St
Cambridge, MA 02141
Phone (617) 441-1743

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

55 Lake Ave N
Ofc
Worcester, MA 01655

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 5

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 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1720066343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661540",
            "telephone_number": "508-418-6888",
            "fax_number": "508-418-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661540",
            "telephone_number": "508-418-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMURI",
        "first_name": "MEENAKSHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-01-10",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "204591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110002189A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturbridge, MA

Sources for this page

Verify at the official NPI Registry.