ANUSHA DEVARAJAN (MBBS) – Student in an Organized Health Care Education/Training Program, NPI 1639691272

ANUSHA DEVARAJAN (MBBS) is a healthcare provider. based in Burlington, Vermont. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MBBS. They hold a License No. 042.0017550 (VT). The NPI Number for ANUSHA DEVARAJAN (MBBS) is 1639691272

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ANUSHA DEVARAJAN (MBBS)
NPI
1639691272
Phone
(802) 656-9004
Address
111 COLCHESTER AVE
Enumeration Date
14 July 2017
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
7214350321
Group Practice PAC ID
2769396878
Professional Enrollment ID
I20240919003259
Address ID
NY129012779PL206XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
adevarajan1214276@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

34 CRITICAL CARE (INTENSIVISTS) in VT

Provider Addresses for ANUSHA DEVARAJAN (MBBS)

  • 111 COLCHESTER AVE

    BURLINGTON, VT 054011473

    Phone: (802) 656-9004

    Type: Mailing

  • Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States

    SCOTTSDALE, AZ 852595452

    Phone: (480) 301-8000

    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: 2024-09-19

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
I20240919002431IPulmonary DiseaseVTTBD
I20240919003259IPulmonary DiseaseNYTBD

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 05401)

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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: 2769396878View full group profile
NameSpecialtyState
Physician AssistantNY
O B S T E T R I C S/ G Y N E C O L O G YNY
Registered Dietitian Or Nutrition ProfessionalNY
Physician AssistantNY
Medical Oncology, Hematology/OncologyNY
Family PracticeNY
Internal MedicineNY
Internal MedicineNY
Colorectal Surgery (Proctology), General SurgeryNY
-IN

Reviews

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Frequently asked questions

What number should I use to identify ANUSHA DEVARAJAN (MBBS) for billing?
Administrative and clinical systems typically use NPI 1639691272 for ANUSHA DEVARAJAN (MBBS).
Is ANUSHA DEVARAJAN (MBBS) currently accepting referrals based on NPI status?
Registry metadata lists ANUSHA DEVARAJAN (MBBS) as active.
What does the directory say ANUSHA DEVARAJAN (MBBS) does?
Insurance directories may phrase it differently, but here ANUSHA DEVARAJAN (MBBS) maps to Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Which community is linked to ANUSHA DEVARAJAN (MBBS)?
ANUSHA DEVARAJAN (MBBS) shows a connection to Burlington, Vermont in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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