Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ARJUN BASHYAM MD
NPI 1699354100
Dermatology in Worcester, MA

Active since April 03, 2021PECOS Enrolled
255 PARK AVE STE 509, WORCESTER, MA 01609(508) 890-5500 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Jul 11, 2026, Apr 3, 2021 (3 updates tracked since 2021).

About Arjun Bashyam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARJUN BASHYAM MD (NPI 1699354100) is an individual dermatology provider in Worcester, Massachusetts, licensed in Massachusetts (1028279) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699354100
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameARJUN BASHYAMCredential: MD
Location Address255 PARK AVE STE 509Worcester, MA 01609-1989
Mailing Address255 Park Ave Ste 509Worcester, MA 01609-1989 · (508) 452-2702
Sole ProprietorNo
Enumeration DateApril 3, 2021
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1699354100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 1028279
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 1028279 (MA)
255 PARK AVE STE 509, Worcester, MA 01609

Secondary Practice Locations 2

Location 11101 Beacon St Ste 1EBrookline, MA 02446-5587 · Phone (617) 731-2390
Location 21822 N Main St Ste 302Fall River, MA 02720-1350 · Phone (508) 235-1118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arjun Bashyam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Arjun Bashyam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
255 PARK AVE STE 509
Worcester, MA 01609
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
Dermatology
1101 BEACON ST STE 1E
Brookline, MA 02446
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 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 01609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
255 PARK AVE STE 509
WORCESTER, MA 01609
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Dermatology
255 PARK AVE STE 509
WORCESTER, MA 01609
Dentist
255 PARK AVE STE 509
WORCESTER, MA 01609

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 Arjun Bashyam's NPI number?

The NPI number for Arjun Bashyam is 1699354100. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Arjun Bashyam located?

Arjun Bashyam practices at 255 Park Ave Ste 509, Worcester, MA 01609. The listed phone number is (508) 890-5500.

What is Arjun Bashyam's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Arjun Bashyam enrolled in Medicare?

Yes. Arjun Bashyam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Arjun Bashyam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arjun Bashyam reassigns Medicare benefits to 2 organizations: Integrated Dermatology Of Worcester II LLC (Worcester, MA) and Integrated Dermatology Of Brookline, LLC (Brookline, 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 Arjun Bashyam'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 Arjun Bashyam was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.