Dr Amit Vasireddy, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. His current practice location is
825 Chalkstone Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 456-2000.
Dr Amit Vasireddy is licensed to practice in Rhode Island (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881246254.
Physician's Profile
| Full Name | Dr Amit Vasireddy |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 825 Chalkstone Ave, Providence, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881246254
- Provider Enumeration Date: 07/15/2019
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204218225
- Enrollment ID: I20220808000137
Medical Identifiers
Medical identifiers for Dr Amit Vasireddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881246254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 294632 (Massachusetts) | Secondary |
| 208M00000X | Hospitalist | 294632 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 280732 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Rhode Island) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Amit Vasireddy allows following entities to bill medicare on his behalf.
| Entity Name | Baystate Medical Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548205909
PECOS PAC ID: 5991602971
Enrollment ID: O20040225000080 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amit Vasireddy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Amit Vasireddy, MD
825 Chalkstone Ave,
Providence, RI 02908-4728
Ph: (401) 456-2000 | Dr Amit Vasireddy, MD
825 Chalkstone Ave,
Providence, RI 02908-4728
Ph: (401) 456-2000 |
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