Individual provider Active NPI

Jesse Kavi-Raj Sinanan, M.D.

  • Diagnostic Radiology Physician
  • Paoli, PA
National Provider Identifier
1144630823
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD465839 Issued in PA
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

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191009001332 PA Practitioner - Diagnostic Radiology 2466679626 Reassigns benefits to 3 organizations
I20240208001415 TN Practitioner - Diagnostic Radiology 2466679626 Reassigns benefits to 1 organization
I20260507000793 NJ Practitioner - Diagnostic Radiology 2466679626 Reassigns benefits to 1 organization

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
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

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

LicenseStateTypeSpecialty
MD465839PAMDDiagnostic Radiology Physician
70149TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Feb 1, 2024 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Ut Regional One Physicians Inc Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Dec 14, 2024 Accepting new patients
Radiologists of North Iowa PC CurrentSince Aug 25, 2024 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince May 13, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince May 13, 2023 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2023 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.

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": "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

Verify at the official NPI Registry.