MICHELLE S UDESHI (MD) – Diagnostic Radiology Physician, NPI 1023140902

MICHELLE S UDESHI (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 230929 (MA). The NPI Number for MICHELLE S UDESHI (MD) is 1023140902

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE S UDESHI (MD)
NPI
1023140902
Phone
Not provided
Address
133 BROOKLINE AVE
Enumeration Date
9 March 2007
Last Update Date
1 July 2020

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
2961501614
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20260219002515
Address ID
OK745712022TAONEXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,952 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for MICHELLE S UDESHI (MD)

  • 133 BROOKLINE AVE

    BOSTON, MA 022153904

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260128002766IDiagnostic RadiologyFLTBD
I20260219001804IDiagnostic RadiologyOKTBD
I20260219002515IDiagnostic RadiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
Orthopedic Surgery, Sports MedicineTX
-OK

Reviews

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Frequently asked questions

What is MICHELLE S UDESHI (MD)'s NPI number?
MICHELLE S UDESHI (MD)'s NPI is 1023140902 — the number used across U.S. healthcare to identify this provider.
Would MICHELLE S UDESHI (MD) appear as active to a payer?
You can treat MICHELLE S UDESHI (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MICHELLE S UDESHI (MD)?
At a glance, MICHELLE S UDESHI (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELLE S UDESHI (MD)?
Travel planning: use Boston, Massachusetts as the reference point for MICHELLE S UDESHI (MD), then confirm.
When was this NPI issued?
Enumeration for MICHELLE S UDESHI (MD) is noted as March 9, 2007 where the registry provides it.

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