Individual provider Active NPI

Shravan Reddy Kambam, MD

  • Radiation Oncology Physician
  • Spring Hill, FL
National Provider Identifier
1124055272
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME151895 Issued in FL
Practice address
7154 Medical Center Dr
Spring Hill, FL 34608-1329
Phone
(352) 596-1926
Fax
(352) 597-2154
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME151895 FL Primary
Radiation Oncology Physician 2085R0001X 25MA0794300 NJ

Addresses

Primary practice location

7154 Medical Center Dr
Spring Hill, FL 34608-1329

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

160 Pehle Avenue
Saddle Brook, NJ 07663-5227
Phone (201) 881-1000

Other identifiers 1

IdentifierTypeStateIssuer
130613000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060324000574 NJ Practitioner - Radiation Oncology 8325056849 Reassigns benefits to 1 organization
I20260328000378 FL Practitioner - Radiation Oncology 8325056849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

Hospital & facility affiliations

  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151895FLMDRadiation Oncology Physician
25MA0794300NJMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC CurrentSince Jan 1, 2016 Accepting new patients
Ariston Radiology Associates, L,L,C. Radiation Oncology Past Accepting new patients
Montclair Anesthesia Associates, P.C. Past Accepting new patients
Advanced Ambulatory Anesthesia, LLC Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Radiation Oncology PastSince Apr 1, 2026 Accepting new patients

Locations

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

268 Mlk Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580

81 Northfield Ave
Ste 101
West Orange, NJ 07052
Phone (973) 699-5931

Organizations & group practices 6

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 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1124055272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 MEDICAL CENTER DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346081329",
            "telephone_number": "352-596-1926",
            "fax_number": "352-597-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Pehle Avenue",
            "address_purpose": "LOCATION",
            "city": "Saddle Brook",
            "state": "NJ",
            "postal_code": "076635227",
            "country_code": "US",
            "telephone_number": "201-881-1000",
            "fax_number": "201-226-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMBAM",
        "first_name": "SHRAVAN",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME151895",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA0794300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130613000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.