Active NPI
Jesse Kavi-Raj Sinanan, M.D.
- Diagnostic Radiology Physician
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD465839
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - Phone
- (610) 429-0693
- Fax
- (423) 826-1290
- NPI assigned
- May 2, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 70149 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | MD465839 | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301-1763
Mailing address
PO Box 678678
Dallas, TX 75267-8678
Phone (610) 429-0693
Other practice location 1
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 448-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TN, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161
2301 S Broad St
Philadelphia, PA 19148-3542
850 Walnut St
Jefferson Outpatient Imaging
Philadelphia, PA 19107-5109
Phone (610) 831-0500
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD465839 | PA | MD | Diagnostic Radiology Physician |
| 70149 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Jefferson University Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| Association of University Radiologists, PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of North Iowa PC | Current | Accepting new patients | |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1416 6th St SW
Mason City, IA 50401
Phone (515) 424-4932
850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900
111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
111 S 11th St
Ste G3390
Philadelphia, PA 19107
Phone (215) 955-2900
7326 Maynardville Pike
Ste 1100
Knoxville, TN 37938
Phone (865) 251-4488
601 Hall of Fame Dr
Knoxville, TN 37915
Phone (865) 525-7100
1975 Town Center Blvd
Ste 206
Knoxville, TN 37922
Phone (865) 525-7100
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Organizations & group practices 12
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.
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1578512224
Diagnostic Radiology
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1619088697
PA
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1063067635
Diagnostic Radiology
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Gynecology Physician
- Mason City, IA
- NPI 1548093628
-
- Radiology Clinic/Center
- Knoxville, TN
- NPI 1205588308
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1417698275
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1427785047
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bensalem, PA
- NPI 1336378132
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1144630823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678678",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678678",
"telephone_number": "610-429-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "610-429-0693",
"fax_number": "423-826-1290"
}
],
"practiceLocations": [
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-448-4263",
"fax_number": "901-448-1248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINANAN",
"first_name": "JESSE",
"middle_name": "KAVI-RAJ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "70149",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD465839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.