DR. SRINIVASAN MUKUNDAN JR. M.D.
NPI 1003902172
Radiology - Diagnostic Radiology in Boston, MA
About Dr. Srinivasan Mukundan Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SRINIVASAN MUKUNDAN JR. M.D. (NPI 1003902172) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (236798) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Srinivasan Mukundan Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Srinivasan Mukundan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Belmont, MA 02478
- Reassigned Medicare billing, Massachusetts enrollment
- 422 clinicians in this Medicare group
South Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 419 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Srinivasan Mukundan's NPI number?
The NPI number for Srinivasan Mukundan is 1003902172. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Srinivasan Mukundan located?
Srinivasan Mukundan practices at 75 Francis St Brigham And Women's Hospital, Boston, MA 02115. The listed phone number is (617) 732-7260.
What is Srinivasan Mukundan's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Srinivasan Mukundan enrolled in Medicare?
Yes. Srinivasan Mukundan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Srinivasan Mukundan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Srinivasan Mukundan reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), The Mclean Hospital Corporation (Belmont, MA) and Harbor Medical Associates, Inc. (South Weymouth, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Srinivasan Mukundan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Srinivasan Mukundan was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Srinivasan Mukundan Jr., M.D. · NPI 1003902172
Diagnostic Radiology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1003902172 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 236798 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL, Boston, MA 02115-6110
- **Phone:** (617) 732-7260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); The Mclean Hospital Corporation (NPI 1114979580, Belmont, MA); Harbor Medical Associates, Inc. (NPI 1124079561, South Weymouth, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2012
- **Other identifiers:** Medicaid 110081546/A (MA); Medicare UPIN H39700; Medicare ID-Type Unspecified 2004080 (NC); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003902172) · Data from the CMS NPPES public registry.