Individual provider Active NPI

Vikram Maddikunta Brahmanandam, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1891962296
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233470 Issued in MA
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

Updated by the provider on May 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, IL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20160428002296 HI Practitioner - Cardiovascular Disease (Cardiology) 3971803560 Reassigns benefits to 2 organizations
I20171026003282 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971803560 Reassigns benefits to 1 organization
I20211119000844 VA Practitioner - Cardiovascular Disease (Cardiology) 3971803560 Reassigns benefits to 2 organizations
I20250207002984 SC Practitioner - Cardiovascular Disease (Cardiology) 3971803560 Reassigns benefits to 5 organizations
I20250408002455 MO Practitioner - Cardiovascular Disease (Cardiology) 3971803560 Reassigns benefits to 1 organization
I20250624003874 IL Practitioner - Cardiac Electrophysiology 3971803560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians
Hilo Benioff Medical CenterGroup PAC ID 1254422900, shared by 4 NPIs, 131 clinicians
Midwest Diagnostic Cardiology, LLCGroup PAC ID 5991739757, 8 clinicians
McLeod Loris Seacoast HospitalGroup PAC ID 9133394398, 57 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

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 Hospital, Hilo, HI, CCN 120005
  • Kau Hospital Hospital, Pahala, HI, CCN 121301
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233470MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 11, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Nov 30, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Nov 30, 2024 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Jan 21, 2026 Accepting new patients
McLeod Health Cheraw CurrentSince Nov 30, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Apr 4, 2016 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Aug 11, 2017 Accepting new patients
Kau Hospital CurrentSince Mar 1, 2020 Accepting new patients
McLeod Health Cheraw CurrentSince Nov 30, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Midwest Diagnostic Cardiology, LLC Cardiovascular Disease CurrentSince Mar 27, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Nov 30, 2024 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Nov 30, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Nov 30, 2024 Accepting new patients
Kau Hospital CurrentSince Mar 1, 2020 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Nov 30, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Nov 30, 2024 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Oct 5, 2021 Accepting new patients
Hilo Benioff Medical Center CurrentSince Apr 4, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 30, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Jan 21, 2026 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

  • Direct secure messaging: 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.

View all 27

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": "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

Verify at the official NPI Registry.