Active NPI
Shravan Reddy Kambam, MD
- Radiation Oncology Physician
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME151895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130613000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PC
Practice addresses (Care Compare)
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300
Hospital & facility affiliations
- Saint Michael'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151895 | FL | MD | Radiation Oncology Physician |
| 25MA0794300 | NJ | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Avenue Professional Services, PC | Current | 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 | Past | 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1447649694
NJ
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
FL, Radiation Oncology
-
- Specialist
- Wayne, NJ
- NPI 1063415990
-
- Radiation Oncology Physician
- Totowa, NJ
- NPI 1689844870
Radiation Oncology
-
- Anesthesiology Physician
- Montclair, NJ
- NPI 1841245628
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.