Individual provider Active NPI

Anitha Sadasivan Dasari, MD

  • Anesthesiology Physician
  • Dorchester Center, MA
National Provider Identifier
1770547879
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
214468 Issued in MA
Practice address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Phone
(617) 298-4632
Fax
(617) 296-6919
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 214468 MA Primary

Addresses

Primary practice location

2100 Dorchester Ave
Dorchester Center, MA 02124-5615

Mailing address

340 Main St Ste 670
Worcester, MA 01608-1665
Phone (508) 754-3566

Other identifiers 1

IdentifierTypeStateIssuer
2015731MedicaidMA

Other names 1

  • Anitha Sadasivan Former name

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
I20060112000617 MA Practitioner - AnesthesiologyPractitioner - Pain Management 7012930381 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

Practice addresses (Care Compare)

1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-9300

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Sep 21, 2015 Accepting new patients
Matrix Anesthesia, PC Anesthesiology CurrentSince Feb 11, 2015 Accepting new patients
JJM Medical Services, PC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Atlantic Anesthesia, P.C. Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Boston Medical Group, PC Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

178 Quincy Ave
Brockton, MA 02302
Phone (508) 584-8580

210 Quincy Ave
Brockton, MA 02302
Phone (508) 583-6262

100 Morse St
Norwood, MA 02062
Phone (781) 255-0362

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

300 Grove St
Worcester, MA 01605
Phone (508) 754-0700

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

Interoperability endpoints

  • Direct secure messaging: anitha.sadasivan@direct.signature.masshiway.net

Organizations & group practices 8

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1770547879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST STE 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081665",
            "telephone_number": "508-754-3566",
            "fax_number": "508-798-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "617-298-4632",
            "fax_number": "617-296-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADASIVAN DASARI",
        "first_name": "ANITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "214468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITHA",
            "last_name": "SADASIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dorchester Center, MA

Sources for this page

Verify at the official NPI Registry.