VIJAYABHARATHI EKAMBARAM (MD) – Psychiatry Physician, NPI 1093000689

VIJAYABHARATHI EKAMBARAM (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME164700 (FL). The NPI Number for VIJAYABHARATHI EKAMBARAM (MD) is 1093000689

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
VIJAYABHARATHI EKAMBARAM (MD)
NPI
1093000689
Phone
(617) 667-5864
Address
330 BROOKLINE AVE
Enumeration Date
13 June 2011
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504943953
Graduation Year
2007 (19 years ago)
PAC ID
6305129552
Group Practice PAC ID
9537126222
Professional Enrollment ID
I20231115000115
Address ID
FL325146039PE2191XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

363 PSYCHIATRY in OK

Provider Addresses for VIJAYABHARATHI EKAMBARAM (MD)

  • 330 BROOKLINE AVE

    BOSTON, MA 022155400

    Phone: (617) 667-5864

    Type: Mailing

  • 920 SL YOUNG BLVD

    OKLAHOMA CITY, OK 731045036

    Phone: (405) 271-5251

    Type: Location

  • 2191 E JOHNSON AVE

    PENSACOLA, FL 325146029

    Phone: (850) 494-3953

    Fax: (850) 494-3960

    Type: Mailing

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: 2023-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231115000115IPsychiatryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5712$0
View full utilization report →

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: 9537126222View full group profile
NameSpecialtyState
-FL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
Nurse PractitionerCT
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
P S Y C H I A T R YAL
-FL

Reviews

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Frequently asked questions

How do I look up VIJAYABHARATHI EKAMBARAM (MD) by NPI?
Use NPI 1093000689 when you need to reference VIJAYABHARATHI EKAMBARAM (MD) in forms, claims, or directories.
Does this profile mean VIJAYABHARATHI EKAMBARAM (MD) is currently active?
Yes — VIJAYABHARATHI EKAMBARAM (MD) appears active in the national provider directory.
What does VIJAYABHARATHI EKAMBARAM (MD) treat or focus on?
Patients typically see VIJAYABHARATHI EKAMBARAM (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place VIJAYABHARATHI EKAMBARAM (MD)?
The snapshot lists Boston, Massachusetts for VIJAYABHARATHI EKAMBARAM (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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