Active NPI
Vikram Maddikunta Brahmanandam, M.D.
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 233470
- Practice address
- 560 Harrison Ave
Boston Medical Center
Boston, MA 02118-2436 - Phone
- (617) 638-1000
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036126115 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | MD-18553 | HI | |
| Internal Medicine Physician | 207R00000X | 233470 | MA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 0101268643 | VA |
Addresses
Primary practice location
560 Harrison Ave
Boston Medical Center
Boston, MA 02118-2436
Mailing address
11 Queensberry St Apt 29
Boston, MA 02215-5027
Other practice location 1
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870
Other practice location 2
12200 Warwick Blvd # 590B
Newport News, VA 23601-2344
Phone (757) 594-2074
Other practice location 3
4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone (618) 233-3066
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, NY, VA, SC, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of Pittsburgh School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kau HospitalHilo Benioff Medical Center
Practice addresses (Care Compare)
1 Kamani St
Pahala, HI 96777
Phone (808) 932-4370
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3518
Phone (314) 682-3628
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111
4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 390-8100
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
PO Box
Pahala, HI 96777
Hospital & facility affiliations
- Hilo Benioff Medical Center
- Kau Hospital
- St Lukes Hospital
- McLeod Regional Medical Center-Pee Dee
- McLeod Loris Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233470 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| McLeod Health Cheraw | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Kau Hospital | Current | Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Midwest Diagnostic Cardiology, LLC | Cardiovascular Disease | Current | Accepting new patients |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278
121 Saint Lukes Center Dr
Ste 200
Chesterfield, MO 63017
Phone (314) 576-2475
111 E 210th St
Bronx, NY 10467
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Interoperability endpoints
- vbrahmanandam19838@hhsc.direct-ci.com
Organizations & group practices 27
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.
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
- Cardiovascular Disease Physician
- Chesterfield, MO
- NPI 1457467755
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
-
- Certified Registered Nurse Anesthetist
- Manning, SC
- NPI 1508218793
-
- Hospitalist Physician
- Dillon, SC
- NPI 1720033988
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Critical Access Hospital
- Pahala, HI
- NPI 1558441311
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1891962296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 QUEENSBERRY ST APT 29",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 HARRISON AVE",
"address_2": "BOSTON MEDICAL CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182436",
"telephone_number": "617-638-1000"
}
],
"practiceLocations": [
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-8870",
"fax_number": "757-388-8871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12200 Warwick Blvd # 590B",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236012344",
"country_code": "US",
"telephone_number": "757-594-2074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 Memorial Dr Ste W1",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622265359",
"country_code": "US",
"telephone_number": "618-233-3066",
"fax_number": "618-233-3180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAHMANANDAM",
"first_name": "VIKRAM",
"middle_name": "MADDIKUNTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036126115",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD-18553",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "233470",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101268643",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4600 Memorial Dr Ste W1",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265359",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 11, 2026; 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.