Sadashiv Sarvotham Shenoy, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

121816-1 Issued in NY

Practice address

2949 Elmwood Ave
Kenmore, NY 14217-1356

Phone

(716) 876-4033

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sadashiv S.Shenoy M.D.

  • Vascular & Interventional Radiology Physician
  • Kenmore, NY
  • NPI 1225081714
  NPD (past) Authorized official
• Tarik Elibol, MD

  • Internal Medicine Physician
  • Kenmore, NY
  • NPI 1912329368
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285686733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 E OVERLOOK DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216310",
            "telephone_number": "716-631-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171356",
            "telephone_number": "716-876-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "SADASHIV",
        "middle_name": "SARVOTHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "121816-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00664695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Setlock
• Kelsey Grace Seward, MS OTR/L
• Alicia M Seweryn, PT
• Mark M Shaw
• Jacqueline Marie Shellum
• Christine Melinda Shields, MS, OTR/L
• Michal Shmuel-Lewis
• Raymond Shu, DPT
• Lisa Louise Sickau
• Allison Marie Siebert

• Vascular & Interventional Radiology Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.