Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Prathima Nandivada, MD

Individual provider Pediatric Surgery Physician · NPI 1184936320

Dr. Prathima Nandivada, MD is a General Surgery in Boston, Massachusetts. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Practices with Chmc Surgical Foundation Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
MA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 253386 (MA)

Record details

NPI number1184936320
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2010
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Chmc Surgical Foundation Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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