Active NPI
Vasumathi Keith Brown, MD., LADC-1
- Pain Medicine (Anesthesiology) Physician
- Holliston, MA
National Provider Identifier
1922045038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 207994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J28547 | Other | BLUE CROSS BLUE SHIELD | |
| 2025710 | Medicaid | MA | |
| AA38478 | Other | HARVARD PILGRIM HEALTH CA | |
| P00716212 | Other | MA | RAILROAD MEDICARE |
Other names 1
- Dr. Vasumathi Govindarajan
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000509 | MA | Practitioner - General Practice | 7517923410 | Practice locations: Holliston, MA; Waltham, MA; Worcester, MA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16721 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South East Center for Swallowing & Communication | Past | Accepting new patients | |
| Boston Neurobehavioral Associates, LLC | Past | Accepting new patients | |
| Skylight Health Group Ma PC | Past | Accepting new patients | |
| High Point Treatment Center Inc. | Past | 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.
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1558415307
-
- Counselor
- New Bedford, MA
- NPI 1518996354
-
- Family Medicine Physician
- Yarmouthport, MA
- NPI 1255931937
-
- Speech-Language Pathologist
- New Bedford, MA
- NPI 1922102912
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.