Individual provider Active NPI

Shanthi Rajaratnam, M.D.

  • Family Medicine Physician
  • Hamilton, OH
National Provider Identifier
1083613129
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35069981R Issued in OH
Practice address
1391 Main St
Hamilton, OH 45013-1077
Phone
(513) 867-9000
Fax
(513) 785-3675
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35069981R OH Primary

Addresses

Primary practice location

1391 Main St
Hamilton, OH 45013-1077

Mailing address

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

Other identifiers 1

IdentifierTypeStateIssuer
2029469MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address srajaratnam192626@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000959 OH Practitioner - Family Practice 4981695996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

1380 NW Washington Blvd
Hamilton, OH 45013-1208
Phone (513) 867-9000

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • Bridges Rehab at Home Home health agency, Mason, OH, CCN 368232
  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Jan 1, 2011 Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

3145 Hamilton Mason Rd
Fl 2
Fairfield Township, OH 45011
Phone (513) 867-0015

1380 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 863-2800

1391 Main St
Hamilton, OH 45013
Phone (513) 867-9000

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1083613129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 MAIN ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131077",
            "telephone_number": "513-867-9000",
            "fax_number": "513-785-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 MAIN ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131077",
            "telephone_number": "513-867-9000",
            "fax_number": "513-785-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARATNAM",
        "first_name": "SHANTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069981R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029469",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srajaratnam192626@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1391 Main St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1391 Main St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.