Soumya Chandrasekaran, M.D

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

235582 Issued in MA

Practice address

235 Woodland N
Lynn, MA 01904-1414

Phone

(978) 712-3360

NPI assigned

Dec 20, 2007

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hebrew Seniorlife Affiliated Medical Group IncGroup PAC ID 2062774177, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brentwood Rehabilitation and Healthcare Ctr (the) Nursing home, Danvers, MA, CCN 225223

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: soumya.chandrasekaran.p1@direct.elementcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hebrew Seniorlife Affiliated Medical Group Inc

  • Internal Medicine Physician
  • Roslindale, MA
  • NPI 1477069391
  Medicare reassignment Care Compare group NPD
• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  Medicare reassignment NPD

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

• Brentwood Operator, LLC

  dba The Brentwood Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Danvers, MA
  • NPI 1851731665

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1942484431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RUSSET LN",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401149",
            "telephone_number": "914-815-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WOODLAND N",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041414",
            "telephone_number": "978-712-3360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 166D",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "01915",
            "country_code": "US",
            "telephone_number": "978-712-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "SOUMYA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "235582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110080036A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ceshada Chambers
• Rebecca Chambers, PT,DPT
• Julie M Chan, CRNP
• Netherine Chan
• Vivian Shuk Man Chan, M.D
• Therese D Chapajong
• Georges Charles, RN
• Junior Charles
• Amy Chartier, RN
• Sarah Chase-Bigelow

• Geriatric Medicine (Internal Medicine) Physician in Lynn, MA
• Providers in Lynn, MA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.

Verify at the official NPI Registry.