SHALINI VEMULA (M.D.) – Dermatology Physician, NPI 1669811063

SHALINI VEMULA (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 256910 (MA). The NPI Number for SHALINI VEMULA (M.D.) is 1669811063

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SHALINI VEMULA (M.D.)
NPI
1669811063
Phone
Not provided
Address
330 BROOKLINE AVENUE
Enumeration Date
18 June 2013
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8174273376
Graduation Year
2013 (13 years ago)
PAC ID
3870712193
Group Practice PAC ID
1759562366
Professional Enrollment ID
I20201022002360
Address ID
TX761828607NO8169XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for SHALINI VEMULA (M.D.)

  • 330 BROOKLINE AVENUE

    BOSTON, MA 02215

    Phone:

    Type: Mailing

  • 330 BROOKLINE AVE

    BOSTON, MA 022155400

    Phone: (617) 667-4995

    Type: Location

  • 736 Cambridge St

    Brighton, MA 021352907

    Phone: (617) 789-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($186).

Total Amount

$209

General + Research + Ownership

Payments

7

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-10-22

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
I20201022002360IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths26058$0
99213Established patient office or other outpatient visit, 20-29 minutes151114$0
17000Destruction of precancer skin growth, 1 growth13198$0
11102Biopsy of related skin growth, first growth10379$0
99214Established patient office or other outpatient visit, 30-39 minutes9663$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: 1759562366View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is SHALINI VEMULA (M.D.)'s NPI number?
SHALINI VEMULA (M.D.)'s NPI is 1669811063 — the number used across U.S. healthcare to identify this provider.
Would SHALINI VEMULA (M.D.) appear as active to a payer?
You can treat SHALINI VEMULA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SHALINI VEMULA (M.D.)?
At a glance, SHALINI VEMULA (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHALINI VEMULA (M.D.)?
Travel planning: use Boston, Massachusetts as the reference point for SHALINI VEMULA (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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