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

Individual provider Cardiovascular Disease Physician · NPI 1659780914

Vaikom Mahadevan, MD is an Interventional Cardiology in Worcester, Massachusetts. Qualified in 1994, 32 years ago. Practices with Stockton Cardiology Medical Group Complete Heart Care Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
32
Licensed in
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 1013672 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 1013672 (MA)

Record details

NPI number1659780914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 11, 2014
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Stockton Cardiology Medical Group Complete Heart Care Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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