DR. MARY ALICE VIJJESWARAPU (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1962765180

DR. MARY ALICE VIJJESWARAPU (M.D.) is a healthcare provider. based in Dorchester, Massachusetts. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 266053 (MA). The NPI Number for DR. MARY ALICE VIJJESWARAPU (M.D.) is 1962765180

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY ALICE VIJJESWARAPU (M.D.)
NPI
1962765180
Phone
(617) 296-4000
Address
2100 Dorchester Ave
Enumeration Date
21 June 2012
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3104233277
Graduation Year
2012 (14 years ago)
PAC ID
3971736786
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20180418002308
Address ID
CA900481804WE8700XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

298 PAIN MANAGEMENT in MA

Provider Addresses for DR. MARY ALICE VIJJESWARAPU (M.D.)

  • 2100 Dorchester Ave

    Dorchester, MA 021245615

    Phone: (617) 296-4000

    Type: Location

  • 2100 DORCHESTER AVE

    DORCHESTER, MA 021245615

    Phone: (617) 296-4000

    Type: Location

  • 8700 BEVERLY BLVD

    WEST HOLLYWOOD, CA 900481804

    Phone: (310) 423-5841

    Type: Location

  • 75 FRANCIS ST

    BOSTON, MA 021156110

    Phone: (617) 732-5500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,210.

Total Amount is formed as General ($1,210) + Research ($0) + Ownership ($0) = $1,210.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($519).

Total Amount

$1,210

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2018-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160808001420IAnesthesiologyMATBD
I20180418002308IAnesthesiologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4941$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3330$0
99213Established patient office or other outpatient visit, 20-29 minutes3126$0
01996Daily hospital management of continuous spinal drug administration2318$0
62324Insertion of tube and injection of substance into middle or upper spine canal1514$0
View full utilization report →

Insurance plans in this area (ZIP 02124)

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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: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARY ALICE VIJJESWARAPU (M.D.)?
NPI 1962765180 is assigned to DR. MARY ALICE VIJJESWARAPU (M.D.) under the national enumeration system.
Is DR. MARY ALICE VIJJESWARAPU (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MARY ALICE VIJJESWARAPU (M.D.) as an active registrant.
What field does DR. MARY ALICE VIJJESWARAPU (M.D.) work in?
You can think of DR. MARY ALICE VIJJESWARAPU (M.D.) as practicing within Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARY ALICE VIJJESWARAPU (M.D.) practice in Massachusetts?
You will see Dorchester, Massachusetts on file for DR. MARY ALICE VIJJESWARAPU (M.D.) alongside any extra practice locations.
Is DR. MARY ALICE VIJJESWARAPU (M.D.) a real provider?
This page reflects official NPPES data for NPI 1962765180. Always confirm identity and privileges with the practice and licensing boards.

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