Individual provider Active NPI

Anvitha Rangan, M.D.

  • Nephrology Physician
  • Boston, MA
National Provider Identifier
1801534383
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3017413 Issued in MA
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

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623000482 RI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6709244783

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017413MAMDNephrology 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

Verify at the official NPI Registry.