Individual provider Active NPI

Shefali Rajendra Gajjar, MD

  • Diagnostic Radiology Physician
  • Doylestown, PA
National Provider Identifier
1245674035
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD464161 Issued in PA
Practice address
599 West State Street
Ste 103
Doylestown, PA 18901-2567
Phone
(267) 880-2710
Fax
(215) 340-3575
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD464161 PA Primary

Addresses

Primary practice location

599 West State Street
Ste 103
Doylestown, PA 18901-2567

Mailing address

599 West State Street
Ste 103
Doylestown, PA 18901-2567
Phone (267) 880-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180710003174 PA Practitioner - Radiation Oncology 5991051633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

599 W State Street
103 Radiation Oncology Doylestown
Doylestown, PA 18901-2567
Phone (267) 880-2710

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital Radiation Oncology CurrentSince May 1, 2021 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Grand View Hospital CurrentSince May 1, 2021 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1001 Chesterbrook Blvd
Berwyn, PA 19312
Phone (610) 576-7500

599 W State St
Ste 103
Doylestown, PA 18901
Phone (267) 880-2710

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

501 S 54th St
Ste 186
Philadelphia, PA 19143
Phone (215) 748-9530

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

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.

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1245674035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 WEST STATE STREET",
            "address_2": "STE 103",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "267-880-2710",
            "fax_number": "215-340-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 WEST STATE STREET",
            "address_2": "STE 103",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "267-880-2710",
            "fax_number": "215-340-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "SHEFALI",
        "middle_name": "RAJENDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD464161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.