NPIMap

Individual provider Active NPI

Suja Sadasivan, MD

  • Neurology Physician
  • Brighton, MA
National Provider Identifier
1881822021
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
256403 Issued in MA
Practice address
736 Cambridge St FL 8
Brighton, MA 02135-2907
Phone
(617) 789-2375
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 256403 MA Primary

Addresses

Primary practice location

736 Cambridge St FL 8
Brighton, MA 02135-2907

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

70 Walnut St
Foxboro, MA 02035-5312
Phone (617) 789-2375

Other practice location 2

67 Belmont St
Worcester, MA 01605-2657
Phone (508) 334-6641

Other practice location 3

1 Pearl St Ste 2000
Brockton, MA 02301-2870
Phone (617) 789-2375

Other practice location 4

1 Pearl St Ste 2000
Brockton, MA 02301-2870
Phone (508) 584-4104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000167 MA Practitioner - Neurology 4688817901 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Boston University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256403MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. Neurology CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince May 31, 2023 Accepting new patients
Community Neuroscience Services, LLC Neurology CurrentSince Sep 1, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince May 31, 2023 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Nov 7, 2024 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 29, 2013 Accepting new patients
Lahey Clinic, Inc CurrentSince Jul 29, 2013 Accepting new patients
Tak Medical Group, P.C. Past Accepting new patients

Locations

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

736 Cambridge St
Fl 8
Brighton, MA 02135
Phone (617) 789-3309

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1 Pearl St
Ste 2000
Brockton, MA 02301
Phone (508) 584-4104

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

70 Walnut St
Foxborough, MA 02035
Phone (508) 543-6371

14 Monument Sq
Ste 401
Leominster, MA 01453
Phone (978) 728-4455

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

33 Lyman St
Ste 400
Westborough, MA 01581
Phone (508) 898-0055

Interoperability endpoints

  • Direct secure messaging: suja.sadasivan.1@2017.direct.athenahealth.com
  • Direct secure messaging: ssadasivan259761@direct.bmc.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA

Organizations & group practices 8

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1881822021",
    "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": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST FL 8",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020355312",
            "country_code": "US",
            "telephone_number": "617-789-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052657",
            "country_code": "US",
            "telephone_number": "508-334-6641",
            "fax_number": "508-334-9036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pearl St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023012870",
            "country_code": "US",
            "telephone_number": "617-789-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pearl St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023012870",
            "country_code": "US",
            "telephone_number": "508-584-4104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADASIVAN",
        "first_name": "SUJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "256403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.