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

Stephanie Udawatta

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912581141

Stephanie Udawatta is an Internal Medicine in Boston, Massachusetts. Graduated from University of Vermont College of Medicine in 2021, 5 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Trained at
University of Vermont College of Medicine
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

330 Brookline Ave Hospital Medicine West Span 201
Boston, MA 02215
Phone: (617) 754-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 1019502 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912581141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address330 Brookline Ave, West Span 201, Boston, MA 02215

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2021 (5 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

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