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

Dr. Sudipta Mohanty, MD

Individual provider Internal Medicine Physician · NPI 1447663695

Dr. Sudipta Mohanty, MD is an Internal Medicine in Boston, Massachusetts. Qualified in 2014, 12 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Massachusetts.

Years since qualifying
12
Licensed in
CA, MA
In the registry since
2014
Specialties on file
2
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

330 Brookline Ave
Boston, MA 02215
Phone: (617) 754-9600
Fax: (951) 486-5705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26520 Cactus Ave, Moreno Valley, CA 92555-3927 — (951) 486-4000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 277029 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A141308 (CA)

Record details

NPI number1447663695
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESNovember 28, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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