Anu G Jayaraman, M.D.
Individual provider Active NPI Dermatology Physician · Norwood, MA
NPI 1730135229 · NPPES record last updated Jan 8, 2016
Key facts
- NPI
- 1730135229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 227890 (MA)
- Practice address
- 95 Chapel St
Norwood, MA 02062-3155 - Phone
- (781) 762-5858
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of Florida College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Associates PC
Adult and Pediatric Dermatology PC
Practice addresses (Care Compare)
128 Carnegie Row
Norwood, MA 02062-5010
133 Littleton Rd
Suite 205
Westford, MA 01886-3198
Phone (978) 371-7010
440 E Central St
Franklin, MA 02038-1374
Phone (781) 762-5858
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 292 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 203 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060809000518 | MA | Practitioner - Dermatology |
0547294803 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86474 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 227890 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates PC | Dermatology | Current |
Accepting new patients |
| Adult & Pediatric Dermatology, P.C. | Dermatology | Current |
Accepting new patients |
| Apderm North, PC | Dermatology | Past | Accepting new patients |
| South Shore Dermatology Physicians, P.C. | Dermatology | Past |
Accepting new patients |
| Apderm Massachusetts PC | Dermatology | Past | Accepting new patients |
Locations
54 Baker Avenue Ext
Ste 305
Concord, MA 01742
9 Payson Rd
Ste 225
Foxborough, MA 02035
Phone (781) 762-5858
440 E Central St
Ste 4
Franklin, MA 02038
Phone (781) 762-5858
440 E Central St
Franklin, MA 02038
Phone (508) 298-1300
128 Carnegie Row
Ste 202
Norwood, MA 02062
Phone (781) 762-5858
133 Littleton Rd
Ste 205
Westford, MA 01886
Phone (978) 692-9978
133 Littleton Rd
Ste 310
Westford, MA 01886
Interoperability endpoints
- ajayaraman31722@tuftsmedicine.direct-ci.com
- ajayaraman1@apderm.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 227890 | MA | Yes |
Addresses
Primary practice location
95 Chapel St
Norwood, MA 02062-3155
Mailing address
95 Chapel St
Norwood, MA 02062-3155
Phone (781) 762-5858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120461 | Medicaid | MA |
Other providers in Norwood, MA
- Alan Jacobson
- Jami Gantz Jain
- Manan Jain
- Barry James
- Paul Edward Jansen
- Lauren A Jayasinghe
- Besher Jazmati
- Marie France Jean Pierre
- Jef Core Inc
- Jennifer Renee Jenkins
All providers in Norwood, MA · Dermatology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.