Individual provider Active NPI

Dhanashree Abhijit Rajderkar, M.D

  • Pediatric Radiology Physician
  • Houston, TX
National Provider Identifier
1225344054
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
U7935 Issued in TX
Practice address
6621 Fannin St
Houston, TX 77030-2358
Phone
(832) 824-8440
NPI assigned
Aug 31, 2010
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 2010008607 MO
Nuclear Medicine Physician 207U00000X ME118727 FL
Pediatric Radiology Physician 2085P0229X ME118727 FL
Pediatric Radiology Physician 2085P0229X 2010008607 MO
Pediatric Radiology Physician 2085P0229X U7935 TX Primary
Diagnostic Radiology Physician 2085R0202X U7935 TX

Addresses

Primary practice location

6621 Fannin St
Houston, TX 77030-2358

Mailing address

902 SW 88TH St
Gainesville, FL 32607-4942
Phone (314) 971-7990

Other practice location 1

902 SW 88th St
Gainesville, FL 32607-4942
Phone (314) 971-7990

Other identifiers 1

IdentifierTypeStateIssuer
011821700MedicaidFL

Other names 1

  • Dr. Dhanashree Subhaschandra Dande Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20140701002247 FL Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 9436388063 Reassigns benefits to 1 organization
I20231229002067 TX Practitioner - Diagnostic Radiology 9436388063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians

Practice addresses (Care Compare)

2701 Pearland Pkwy
Suite 190
Pearland, TX 77581-5948
Phone (281) 485-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010008607MOMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2014 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Nov 11, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2014 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Nov 11, 2025 Accepting new patients
Texas Children's Physician Group CurrentSince May 13, 2024 Accepting new patients
Texas Children's Urgent Care PastSince May 13, 2024 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

25723 Old Fredericksburg Rd
Boerne, TX 78015
Phone (210) 450-6800

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

2701 Pearland Pkwy
Ste 190
Pearland, TX 77581
Phone (281) 485-6400

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: drajderkar144254@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1225344054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SW 88TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074942",
            "telephone_number": "314-971-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302358",
            "telephone_number": "832-824-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 SW 88th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326074942",
            "country_code": "US",
            "telephone_number": "314-971-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJDERKAR",
        "first_name": "DHANASHREE",
        "middle_name": "ABHIJIT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MO",
            "license": "2010008607",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME118727",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME118727",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MO",
            "license": "2010008607",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "U7935",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U7935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011821700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHANASHREE",
            "last_name": "DANDE",
            "middle_name": "SUBHASCHANDRA",
            "prefix": "DR.",
            "credential": "DMRD,DNB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.