Active NPI
Anvitha Rangan, M.D.
- Nephrology Physician
- Boston, MA
National Provider Identifier
1801534383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 3017413
- Practice address
- Tufts Medical Center
800 Washington St, Box 391
Boston, MA 02111 - Phone
- (617) 636-2240
- Fax
- (617) 636-8329
- NPI assigned
- May 24, 2022
- Reactivated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 3017413 | MA | Primary |
Addresses
Primary practice location
Tufts Medical Center
800 Washington St, Box 391
Boston, MA 02111
Mailing address
Tufts Medical Center
800 Washington St, Box 391
Boston, MA 02111
Phone (617) 636-2240
Other practice location 1
115 Cass Avenue
Woonsocket, RI 02895
Phone (401) 769-4100 ext. 2643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230623000482 | RI | Order and Referring Only - Internal Medicine | 6709244783 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017413 | MA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1801534383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TUFTS MEDICAL CENTER",
"address_2": "800 WASHINGTON ST, BOX 391",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TUFTS MEDICAL CENTER",
"address_2": "800 WASHINGTON ST, BOX 391",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-2240",
"fax_number": "617-636-8329"
}
],
"practiceLocations": [
{
"address_1": "115 Cass Avenue",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "02895",
"country_code": "US",
"telephone_number": "401-769-4100 x2643",
"fax_number": "401-767-1674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANGAN",
"first_name": "ANVITHA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2025-07-02",
"certification_date": "2025-06-16",
"deactivation_date": "2023-02-22",
"reactivation_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "3017413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.