Venubabu Kandimalla, M.D
Individual provider Active NPI Internal Medicine Physician · Clinton, MA
NPI 1972734952 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1972734952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 251850 (MA)
- Practice address
- 201 Highland St
Clinton, MA 01510-1037 - Phone
- (978) 368-3000
- NPI assigned
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Physicians of Massachusetts PC
Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Health Alliance Home Health and Hospice
- Umass Memorial Healthalliance Hospitals
- St Vincent Hospital
- Umass Memorial Medical Center/University Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121004000027 | MA | Practitioner - Hospitalist |
9739338054 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Physician Services, Inc. | Internal Medicine | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current |
Accepting new patients |
| Umass Memorial Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| HKD Outreach PC | Internal Medicine | Current |
Accepting new patients |
| Vibra Physicians LLC | Current |
Accepting new patients | |
| Hospitalist Physicians of Massachusetts PC | Internal Medicine | Current |
Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current |
Accepting new patients |
| Umass Memorial Healthalliance Clinton Hospital Inc | Past | Accepting new patients | |
| VHS Acquisition Subsidiary Number 7 Inc | Past | Accepting new patients | |
| Cogent Healthcare of Brockton PC | Internal Medicine | Past | Accepting new patients |
Locations
201 Highland St
Clinton, MA 01510
Phone (508) 421-1400
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
312 Millbury Ave
Millbury, MA 01527
Phone (508) 425-1280
4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274
548 Elm St
Northampton, MA 01060
Phone (413) 586-2832
40 Wright St
Palmer, MA 01069
Phone (413) 284-5210
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
1400 State St
Springfield, MA 01109
Phone (413) 726-6118
85 South St
Ware, MA 01082
Phone (413) 967-2201
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- vkandimalla22979@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 251850 | MA | Yes |
Addresses
Primary practice location
201 Highland St
Clinton, MA 01510-1037
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 441-6767
Other practice location 2
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Other practice location 3
157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5678
Other practice location 4
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110093189A | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vkandimalla22979@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Clinton, MA
- Jacob Hunt
- Immediate Dental Inc.
- Patricia Iorio
- Lu Jin
- Anita Frances Jolly
- Scott Thomas Kiely
- Anne Marie Kilcoyne
- Svetlana V Kresel
- Ronald G. Lavenda
- Seo-Yun Lee
All providers in Clinton, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.