Individual provider Active NPI

Sai Preethi Athota, MBBS, M.D

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1811788698
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
3018109 Issued in MA
Practice address
330 Brookline Avenue
Beth Israel Deaconess Medical Centre
Boston, MA 02215
Phone
(617) 667-3524
Fax
(617) 667-3513
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3018109 MA Primary

Addresses

Primary practice location

330 Brookline Avenue
Beth Israel Deaconess Medical Centre
Boston, MA 02215

Mailing address

10-5-11/54, Fno-GF-1 Durga Towers Ramnagar
Visakhapatnam, ANDHRA PRADESH 530002
IN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3018109MAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1811788698",
    "addresses": [
        {
            "country_code": "IN",
            "country_name": "India",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "10-5-11/54, FNO-GF-1 DURGA TOWERS RAMNAGAR",
            "city": "VISAKHAPATNAM",
            "state": "ANDHRA PRADESH",
            "postal_code": "530002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVENUE",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTRE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-3524",
            "fax_number": "617-667-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHOTA",
        "first_name": "SAI PREETHI",
        "credential": "MBBS, M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "3018109",
            "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 Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.