Individual provider Active NPI

Sharon S. Vuppula

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1851703011
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
292757 Issued in MA
Practice address
801 Massachusetts Ave.
Crosstown BLDG FL 7
Boston, MA 02118
Phone
(617) 414-4841
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 292757 MA
Pediatrics Physician 208000000X 292757 MA Primary

Addresses

Primary practice location

801 Massachusetts Ave.
Crosstown BLDG FL 7
Boston, MA 02118

Mailing address

BMC Provider Enrollment Office
960 Massachusetts Ave,.2ND Floor
Boston, MA 02118
Phone (617) 414-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220927002936 MA Practitioner - Pediatric Medicine 0143595561
I20231004003728 NH Practitioner - Pediatric Medicine 0143595561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292757MAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians, LLC Pediatrics CurrentSince Sep 15, 2023 Accepting new patients
Core Physicians LLC CurrentSince Sep 15, 2023 Accepting new patients
Southern New Hampshire Medical Center Past Accepting new patients

Locations

5 Alumni Dr
Fl 2
Exeter, NH 03833
Phone (603) 580-7525

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

Interoperability endpoints

  • FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
  • Direct secure messaging: svuppula168187@direct.solutionhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1851703011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMC PROVIDER ENROLLMENT OFFICE",
            "address_2": "960 MASSACHUSETTS AVE,.2ND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MASSACHUSETTS AVE.",
            "address_2": "CROSSTOWN BLDG FL 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUPPULA",
        "first_name": "SHARON",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MA",
            "license": "292757",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "292757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.