Individual provider Active NPI

Shambhavi Venkataraman, MBBS

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1174731533
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
230902 Issued in MA
Practice address
PO Box 415348
Boston, MA 02241-5348
Phone
(800) 225-8885
Fax
(508) 334-1977
NPI assigned
May 18, 2007
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 230902 MA
Diagnostic Radiology Physician 2085R0202X 230902 MA Primary
Diagnostic Radiology Physician 2085R0202X 036174999 IL

Addresses

Primary practice location

PO Box 415348
Boston, MA 02241-5348

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 1

IdentifierTypeStateIssuer
110075955AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mvenkataraman48117@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA, NY, MI, NM, KY, IN, CT, WI, SC, NJ, IL, TX13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20070725000620 MA Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 20 organizations
I20240419003648 WA Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20240920000658 NY Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20241213001847 MI Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20241231002434 NM Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20250108003253 KY Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20250603001830 IN Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20250709003685 CT Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 4 organizations
I20250930001595 WI Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 2 organizations
I20251017001864 SC Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20251231001230 NJ Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization
I20260106000212 IL Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 4 organizations
I20260310004048 TX Practitioner - Diagnostic Radiology 5294836920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Umass Memorial Radiology Phys ServGroup PAC ID 6800868779, 40 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Norfolk, MA 02056
Phone (219) 767-6320

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6320

14 Prospect St
Milford, MA 01757-3003
Phone (508) 473-1190

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

160 S Roadrunner Pkwy
Memorial Imaging Center of Las Cruces
Las Cruces, NM 88011-7044
Phone (505) 225-8476

300 E 5TH Ave
Spokane, WA 99202-1334

311 S L St
Tacoma, WA 98405-3720

400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5 Upland Woods Cir
Unit 302
Norwood, MA 02062-3192
Phone (505) 225-8476

8 Dupee St
Norfolk, MA 02056-1858
Phone (718) 223-4685

9 Hawthorne PL
Apt 7N
Boston, MA 02114-2323
Phone (561) 366-2002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230902MAMDSpecialist
036174999ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 5, 2025 Accepting new patients
Southeastern Massachusetts Regional MRI, Limited Partnership CurrentSince Jul 31, 2017 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Coastal Radiology Associates, PLLC Specialist CurrentSince Jan 15, 2024 Accepting new patients
Multicare Health System CurrentSince Mar 20, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
County of Clay CurrentSince Oct 16, 2025 Accepting new patients
County of Clay CurrentSince Oct 16, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Jan 19, 2025 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Dec 1, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2007 Accepting new patients
Steward Medical Group, Inc Specialist CurrentSince Nov 30, 2020 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Jul 20, 2025 Accepting new patients
Multicare Health System CurrentSince Mar 20, 2024 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince May 8, 2025 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince May 8, 2025 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 16, 2026 Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince May 1, 2026 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 3, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 22, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 1, 2025 Accepting new patients
Shields Health at Umass Memorial Health - Milford Regional Medical CurrentSince Feb 22, 2026 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 19, 2025 Accepting new patients
Shields Health at Umass Memorial Health - Milford Regional Medical CurrentSince Feb 22, 2026 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Current Accepting new patients
St. Mary's Hospital, Centralia, Illinois Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
County of Clay Current Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Sep 13, 2025 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jul 10, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 2, 2021 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Dec 10, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Sep 27, 2025 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Wisconsin Radiology Specialists, S C Specialist Past Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients
Multicare Health System Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 134)

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 896-2380

399 Farmington Ave
Lowr 1
Farmington, CT 06032

399 Farmington Ave
Ste 130
Farmington, CT 06032

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

3300 Old Milton Pkwy
Ste 150
Alpharetta, GA 30005

3400 Old Milton Pkwy
Ste C110
Alpharetta, GA 30005

845 Prince Ave
Athens, GA 30606
Phone (706) 549-1118

1110 W Peachtree St NW
Ste 900
Atlanta, GA 30309
Phone (404) 875-2640

3200 Downwood Cir NW
Ste 140
Atlanta, GA 30327
Phone (404) 352-0444

3200 Downwood Cir NW
Ste 700
Atlanta, GA 30327
Phone (404) 355-8066

4700 Nelson Brogdon Blvd
Ste 100
Buford, GA 30518

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

470 Northside Cherokee Blvd
Ste T60
Canton, GA 30115

470 Northside Cherokee Blvd
Ste T70
Canton, GA 30115

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Ste B
Columbus, GA 31901

100 Mountain View Dr
#200
Cumming, GA 30040
Phone (770) 205-8800

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1800 Northside Forsyth Dr
Ste 160
Cumming, GA 30041

81 Northside Dawson Dr
Ste 150
Dawsonville, GA 30534
Phone (706) 344-3300

2545 Lawrenceville Hwy
Ste 250
Decatur, GA 30033
Phone (770) 938-9420

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson
  • Direct secure messaging: mvenkataraman48117@umassmemorial.direct-ci.com

Organizations & group practices 49

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 49

Hospital & facility affiliations 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1174731533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "SHAMBHAVI",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "230902",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "230902",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036174999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075955A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvenkataraman48117@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.