Individual provider Active NPI

Shivkumar Kambhampati, M.D.

  • Diagnostic Radiology Physician
  • Chester, PA
National Provider Identifier
1104188077
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD463556 Issued in PA
Practice address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone
(610) 447-2500
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X D0079989 MD
Diagnostic Radiology Physician 2085R0202X D0079989 MD
Student in an Organized Health Care Education/Training Program 390200000X 0116024813 VA
Diagnostic Radiology Physician 2085R0202X MD463556 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3902

Mailing address

PO Box 3247
Evansville, IN 47731-3247
Phone (812) 471-1591

Other practice location 1

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-3477

Other practice location 2

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, MD, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180507000721 PA Practitioner - Diagnostic Radiology 6406154616 Reassigns benefits to 3 organizations
I20250430000667 DC Practitioner - Diagnostic Radiology 6406154616 Reassigns benefits to 1 organization
I20250430002599 MD Practitioner - Diagnostic Radiology 6406154616 Reassigns benefits to 4 organizations
I20250513003189 CO Practitioner - Diagnostic Radiology 6406154616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians
University of Maryland Diagnostic Imaging Specialists P aGroup PAC ID 7719873298, 81 clinicians
University Imaging Center, LLCGroup PAC ID 2769378686, 56 clinicians
University of Maryland Diagnostic Radiology, LLCGroup PAC ID 0345513248, 47 clinicians

Practice addresses (Care Compare)

West Friendship, MD 21794
Phone (202) 630-7364

Denver, CO 80206-5327
Phone (720) 516-9420

Collegeville, PA 19426-4927

King of Prussia, PA 19406-3261
Phone (215) 456-7900

Baltimore, MD 21201-1544
Phone (410) 328-5700

Baltimore, MD 21201-1734
Phone (410) 328-3225

Philadelphia, PA 19124-2618
Phone (215) 831-2000

La Plata, MD 20646-5207
Phone (301) 539-0345

Elkins Park, PA 19027-2220
Phone (215) 663-6067

Phila, PA 19141-3018

East Norriton, PA 19403-4250

Philadelphia, PA 19115-2185
Phone (215) 456-8242

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079989MDMDNeuroradiology Physician
MD463556PAMDDiagnostic Radiology Physician
0116024813VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 1, 2022 Accepting new patients
Uchealth Imaging Services, LLC CurrentSince May 1, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 1, 2022 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Apr 22, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Apr 22, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Apr 22, 2025 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Apr 22, 2025 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Apr 22, 2025 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Apr 22, 2025 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology Past Accepting new patients
Kleinert Kutz and Associates Hand Care Center PastSince Nov 10, 2019 Accepting new patients
Kleinert Kutz and Associates Hand Care Center Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology PastSince Jan 26, 2025 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

175 Inverness Dr W
Ste 150
Englewood, CO 80112
Phone (720) 516-9800

1500 Park Central Dr
Ste 401
Highlands Ranch, CO 80129
Phone (720) 516-4085

1500 Park Central Dr
Ste 202
Highlands Ranch, CO 80129
Phone (720) 516-2100

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

300 Evergreen Dr
Ste 210
Glen Mills, PA 19342
Phone (610) 566-9400

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • Direct secure messaging: skambhampati85179@direct.umm.edu

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1104188077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3247",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313247",
            "telephone_number": "812-471-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-3477",
            "fax_number": "410-328-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMBHAMPATI",
        "first_name": "SHIVKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D0079989",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0079989",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116024813",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD463556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.