Individual provider Active NPI

Anu G Jayaraman, M.D.

  • Dermatology Physician
  • Norwood, MA
National Provider Identifier
1730135229
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
227890 Issued in MA
Practice address
95 Chapel St
Norwood, MA 02062-3155
Phone
(781) 762-5858
NPI assigned
May 26, 2006
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 227890 MA Primary

Addresses

Primary practice location

95 Chapel St
Norwood, MA 02062-3155

Mailing address

95 Chapel St
Norwood, MA 02062-3155
Phone (781) 762-5858

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
I20060809000518 MA Practitioner - DermatologyPractitioner - Pathology 0547294803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 7012982044, 19 clinicians
Adult and Pediatric Dermatology PCGroup PAC ID 7012988306, 38 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions292
Removal or shaving of skin growth1-10
Skin biopsy203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86474CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PC Dermatology CurrentSince Sep 1, 2012 Accepting new patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Nov 27, 2018 Accepting new patients
Apderm Massachusetts PC Dermatology Past Accepting new patients
Apderm North, PC Dermatology Past Accepting new patients
South Shore Dermatology Physicians, P.C. Dermatology PastSince Jun 10, 1992 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
Franklin, MA 02038
Phone (508) 298-1300

440 E Central St
Ste 4
Franklin, MA 02038
Phone (781) 762-5858

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
Phone (978) 692-9978

Interoperability endpoints

  • Direct secure messaging: ajayaraman1@apderm.emadirect.md
  • Direct secure messaging: ajayaraman31722@tuftsmedicine.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1730135229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-762-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-762-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "ANU",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "227890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.