DR. VARSHA RADHAKRISHNAN – Student in an Organized Health Care Education/Training Program, NPI 1124523311

DR. VARSHA RADHAKRISHNAN is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold a License No. 276611 (MA). The NPI Number for DR. VARSHA RADHAKRISHNAN is 1124523311

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. VARSHA RADHAKRISHNAN
NPI
1124523311
Phone
Not provided
Address
330 BROOKLINE AVE # RABB2
Enumeration Date
28 March 2018
Last Update Date
22 February 2019

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
6176365000
Graduation Year
2018 (8 years ago)
PAC ID
4385031731
Group Practice PAC ID
8921999525
Professional Enrollment ID
I20220503002404
Address ID
MA021111526BO800XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for DR. VARSHA RADHAKRISHNAN

  • 330 BROOKLINE AVE # RABB2

    BOSTON, MA 022155400

    Phone:

    Type: Mailing

  • 330 BROOKLINE AVENUE, RABB-2

    BIDMC HARVARD PSYCHIATRY RESIDENCY TRAINING PROGRAM

    BOSTON, MA 02215

    Phone: (617) 667-1029

    Type: Location

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: 2022-05-03

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
I20220503002404IPsychiatryMATBD

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: 8921999525View full group profile

Reviews

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Frequently asked questions

Can I verify DR. VARSHA RADHAKRISHNAN with an NPI only?
You can start verification with NPI 1124523311 for DR. VARSHA RADHAKRISHNAN, then check state licensing separately.
Can I rely on DR. VARSHA RADHAKRISHNAN being an active provider?
As of the registry snapshot, DR. VARSHA RADHAKRISHNAN is marked active.
What taxonomy line describes DR. VARSHA RADHAKRISHNAN?
For research purposes, treat DR. VARSHA RADHAKRISHNAN as Student in an Organized Health Care Education/Training Program in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. VARSHA RADHAKRISHNAN based?
DR. VARSHA RADHAKRISHNAN is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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