Individual provider Active NPI

Shavitri Ananda Mahendiran, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1326339946
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0086858 Issued in MD
Practice address
22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Phone
(410) 328-3477
NPI assigned
Apr 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 D0086858 MD Primary

Addresses

Primary practice location

22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544

Mailing address

22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Phone (410) 328-3477

Other identifiers 2

IdentifierTypeStateIssuer
563008800MedicaidMD
069425254MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170706002901 PA Practitioner - Diagnostic Radiology 5890081186 Reassigns benefits to 4 organizations
I20190703002699 MD Practitioner - Diagnostic Radiology 5890081186 Reassigns benefits to 1 organization
I20210907000951 VA Practitioner - Diagnostic Radiology 5890081186 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Toledo College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8500

15195 Heathcote Blvd
Suite 350
Haymarket, VA 20169-6244
Phone (571) 284-3180

208 Liberty Bell Cir
Downingtown, PA 19335-4527
Phone (412) 230-8200

5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164

588 Wellington Square
Apt 108
Exton, PA 19341-1341
Phone (216) 844-1700

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7080

Hospital & facility affiliations

  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309
  • Upmc Cole Hospital, Coudersport, PA, CCN 391313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086858MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Apr 28, 2022 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jul 1, 2021 Accepting new patients
University of Virginia Physicians Group CurrentSince Dec 16, 2021 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jul 1, 2021 Accepting new patients
Bath County Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
Fayette Physician Network Inc CurrentSince May 3, 2024 Accepting new patients
Bath County Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Apr 28, 2022 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jul 2, 2024 Accepting new patients
Augusta Health Care, Inc CurrentSince Jan 16, 2023 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Feb 15, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince May 3, 2024 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Jan 16, 2023 Accepting new patients
Augusta Medical Group CurrentSince Aug 25, 2021 Accepting new patients
Augusta Medical Group CurrentSince Aug 25, 2021 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400

78 Medical Center Dr
Fl 1
Fishersville, VA 22939

15195 Heathcote Blvd
Ste 350
Haymarket, VA 20169
Phone (571) 284-3180

Interoperability endpoints

  • Direct secure messaging: smahendiran640479@direct.umm.edu
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1326339946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDIRAN",
        "first_name": "SHAVITRI",
        "middle_name": "ANANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0086858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563008800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069425254",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.