Individual provider Active NPI

Kanchana Myneedu

  • Internal Medicine Physician
  • Shrewsbury, MA
National Provider Identifier
1861981573
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
289473 Issued in MA
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

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005002083 MA Practitioner - Internal Medicine 0547668527 Reassigns benefits to 2 organizations

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
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

604 Main St
Shrewsbury, MA 01545-5663
Phone (508) 842-6502

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Sep 30, 2021 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Sep 30, 2021 Accepting new patients
Hospitalist Physicians of Massachusetts PC Internal Medicine CurrentSince Apr 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.