Active NPI
Kanchana Myneedu
- Internal Medicine Physician
- Shrewsbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 289473
- Practice address
- 604 Main St
Shrewsbury, MA 01545-5663 - Phone
- (508) 842-0057
- Fax
- (508) 845-6571
- NPI assigned
- May 8, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 289473 | MA | Primary |
Addresses
Primary practice location
604 Main St
Shrewsbury, MA 01545-5663
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 255-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
604 Main St
Shrewsbury, MA 01545-5663
Phone (508) 842-6502
Hospital & facility affiliations
- Vna Care Network
- Umass Memorial Medical Center/University Campus
- Umass Memorial Healthalliance Hospitals
- Marlborough Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Massachusetts PC | Internal Medicine | Current | Accepting new patients |
| Umass Memorial Healthalliance Clinton Hospital Inc | Past | Accepting new patients |
Locations
604 Main St
Shrewsbury, MA 01545
Phone (508) 842-0057
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
Interoperability endpoints
- kanchana.myneedu@direct.myhealthep.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Hospitalist Physician
- Framingham, MA
- NPI 1376145680
Internal Medicine
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1861981573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-255-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MAIN ST",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015455663",
"telephone_number": "508-842-0057",
"fax_number": "508-845-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYNEEDU",
"first_name": "KANCHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "289473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.