Individual provider Active NPI

Pratiti Bandopadhayay, M.D

  • Pediatric Hematology & Oncology Physician
  • Boston, MA
National Provider Identifier
1992086664
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
249097 Issued in MA
Practice address
450 Brookline Ave
Dana Farber Cancer Centre-Pediatric Neuro-Onc
Boston, MA 02215-5418
Phone
(857) 600-5911
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 249097 MA Primary

Addresses

Primary practice location

450 Brookline Ave
Dana Farber Cancer Centre-Pediatric Neuro-Onc
Boston, MA 02215-5418

Mailing address

180 Brookline Ave # Appt1432
Boston, MA 02215-3938
Phone (857) 600-5911

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
I20140115001382 MA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 1254569452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Hospital Pediatric Associates, IncGroup PAC ID 3476541830, 333 clinicians

Practice addresses (Care Compare)

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249097MAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Children'S Hospital Pediatric Associates, Inc Pediatric Hematology-Oncology CurrentSince Dec 1, 2013 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

Interoperability endpoints

  • Direct secure messaging: pbandopadhayay38947@direct.bostonchildrens.org
  • Direct secure messaging: bandopadhayay.pratiti.dfci@direct.partners.masshiway.net

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1992086664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROOKLINE AVE # APPT1432",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153938",
            "telephone_number": "857-600-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "DANA FARBER CANCER CENTRE-PEDIATRIC NEURO-ONC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "857-600-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOPADHAYAY",
        "first_name": "PRATITI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MA",
            "license": "249097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.