Individual provider Active NPI

Vasumathi Keith Brown, MD., LADC-1

  • Pain Medicine (Anesthesiology) Physician
  • Holliston, MA
National Provider Identifier
1922045038
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
207994 Issued in MA
Practice address
49 Central St Ste Unitb
Holliston, MA 01746-2103
Phone
(978) 710-9877
Fax
(888) 488-2940
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16721 MA
Independent Medical Examiner Physician 202C00000X 207994 MA
Hospitalist Physician 208M00000X 207994 MA
Addiction Medicine (Family Medicine) Physician 207QA0401X 207994 MA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 207994 MA
Interventional Pain Medicine Physician 208VP0014X 207994 MA
General Practice Physician 208D00000X 207994 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 207994 MA Primary

Addresses

Primary practice location

49 Central St Ste Unitb
Holliston, MA 01746-2103

Mailing address

2308 S Hopkins Ave
Titusville, FL 32780-4727
Phone (978) 219-9049

Other identifiers 4

IdentifierTypeStateIssuer
J28547OtherBLUE CROSS BLUE SHIELD
2025710MedicaidMA
AA38478OtherHARVARD PILGRIM HEALTH CA
P00716212OtherMARAILROAD MEDICARE

Other names 1

  • Dr. Vasumathi Govindarajan Former name

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
I20041202000509 MA Practitioner - General PracticePractitioner - Other (Physician)Practitioner - Peripheral Vascular Disease 7517923410 Practice locations: Holliston, MA; Waltham, MA; Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Peripheral Vascular Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Louis St
Holliston, MA 01746-1549
Phone (508) 361-5053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16721MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South East Center for Swallowing & Communication Past Accepting new patients
Boston Neurobehavioral Associates, LLC Past Accepting new patients
Skylight Health Group Ma PC PastSince Nov 1, 2020 Accepting new patients
High Point Treatment Center Inc. PastSince Jul 24, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1922045038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 S HOPKINS AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804727",
            "telephone_number": "978-219-9049",
            "fax_number": "888-488-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CENTRAL ST STE UNITB",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462103",
            "telephone_number": "978-710-9877",
            "fax_number": "888-488-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VASUMATHI",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD., LADC-1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "16721",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "MA",
            "license": "207994",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "207994",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "207994",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "207994",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "207994",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "207994",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "207994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J28547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025710",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA38478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00716212",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VASUMATHI",
            "last_name": "GOVINDARAJAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holliston, MA

Sources for this page

Verify at the official NPI Registry.