Individual provider Active NPI

Rohini Shantharam, M.D.

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1285077057
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A163323 Issued in CA
Practice address
6730 N West Ave
Fresno, CA 93711-4301
Phone
(559) 439-3000
Fax
(559) 439-3004
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 282425 NY
Dermatology Physician 207N00000X A163323 CA Primary

Addresses

Primary practice location

6730 N West Ave
Fresno, CA 93711-4301

Mailing address

6730 N West Ave
Fresno, CA 93711-4301
Phone (559) 439-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shatharam@boswell.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240419000231 CA Practitioner - Dermatology 2163792052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Scott Boswell, MD a Medical CorporationGroup PAC ID 4880849371, 14 clinicians

Practice addresses (Care Compare)

6730 N W Ave
Fresno, CA 93711-4301
Phone 5594393000215

Merit-based Incentive Payment System (MIPS)

Final score
94.58 of 100Reported as group
Quality
99.33
Improvement activities
40
Cost
82.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions2301
Removal or shaving of skin growth1-10
Skin biopsy664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282425NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Scott Boswell, MD a Medical Corporation Dermatology CurrentSince Apr 15, 2024 Accepting new patients

Locations

5709 N West Ave
Fresno, CA 93711
Phone (559) 243-9990

6730 N West Ave
Fresno, CA 93711
Phone (559) 439-3000

Interoperability endpoints

  • Direct secure messaging: shatharam@boswell.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1285077057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTHARAM",
        "first_name": "ROHINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "282425",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A163323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shatharam@boswell.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6730 N West Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937114301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.