NPIMap

Individual provider Active NPI

Maya A Babu, MD, MBA

  • Neurological Surgery Physician
  • Boston, MA
National Provider Identifier
1811208788
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
54037 Issued in MN
Practice address
55 Fruit St
Boston, MA 02114
Phone
(617) 726-8582
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME142972 FL
Neurological Surgery Physician 207T00000X 276769 MA
Neurological Surgery Physician 207T00000X DR.0063329 CO
Neurological Surgery Physician 207T00000X 54037 MN Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114

Mailing address

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Other practice location 1

1251 Hickory St
Melbourne, FL 32901-3221
Phone (321) 434-3420

Other practice location 2

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1726
Phone (303) 643-4117

Other identifiers 1

IdentifierTypeStateIssuer
105788200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200127000372 AR Practitioner - Neurosurgery 4688847825 Reassigns benefits to 2 organizations
I20220217001254 MS Practitioner - Neurosurgery 4688847825 Reassigns benefits to 1 organization
I20221018001390 ND Practitioner - Neurosurgery 4688847825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Harvard Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0063329COMDNeurological Surgery Physician
276769MAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery of South Dakota PC CurrentSince Apr 15, 2023 Accepting new patients
Sanford Bismarck CurrentSince Jul 6, 2022 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Dec 11, 2019 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 6, 2022 Accepting new patients
Northwest Physicians LLC CurrentSince Dec 11, 2019 Accepting new patients
Sanford Bismarck CurrentSince Jul 6, 2022 Accepting new patients
Forrest County General Hospital CurrentSince Feb 7, 2022 Accepting new patients
Forrest County General Hospital CurrentSince Feb 7, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 6, 2022 Accepting new patients
Northwest Physicians LLC CurrentSince Dec 11, 2019 Accepting new patients

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

125 S 28th Ave
Ste 326
Hattiesburg, MS 39401

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 11

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 9

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1811208788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-8582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013221",
            "country_code": "US",
            "telephone_number": "321-434-3420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281726",
            "country_code": "US",
            "telephone_number": "303-643-4117",
            "fax_number": "720-321-8041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABU",
        "first_name": "MAYA",
        "middle_name": "A",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME142972",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "276769",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "DR.0063329",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "54037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105788200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.