NPIMap

Individual provider Active NPI

Shanthi Rajendran, MD

  • Family Medicine Physician
  • Akron, NY
National Provider Identifier
1346378924
Registry record updated May 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211182 Issued in NY
Practice address
16 Main St
Akron, NY 14001-1220
Phone
(716) 542-9300
NPI assigned
Mar 2, 2007
Last updated
May 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 211182 NY Primary

Addresses

Primary practice location

16 Main St
Akron, NY 14001-1220

Mailing address

187 Viscount Dr
Williamsville, NY 14221-1771
Phone (716) 689-4587

Other identifiers 9

IdentifierTypeStateIssuer
000525581003OtherNYBLUECROSS BLUE SHIELD
0110623OtherNYINDEPENDENT HEALTH
01991253MedicaidNY
102966BFOtherNYPREFERRED HEALTH
161601272OtherNYAETNA
00020552502OtherNYUNIVERA
161601272OtherNYUNITED
040426035673OtherNYFIDELIS CARE NEWYORK
161601272OtherNYCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000481 NY Practitioner - Family Practice 1850585423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shanthi Rajendran Physician PCGroup PAC ID 3577757145, 2 clinicians

Practice addresses (Care Compare)

16 Main St
Akron, NY 14001-1220
Phone (716) 542-9300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211182NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shanthi Rajendran Physician PC Family Medicine CurrentSince Mar 8, 2001 Accepting new patients

Locations

16 Main St
Akron, NY 14001
Phone (716) 542-9300

Interoperability endpoints

  • Direct secure messaging: shanthirajendran@akronfamilycare.medentdirect.com

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

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337472000000",
    "number": "1346378924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 VISCOUNT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211771",
            "telephone_number": "716-689-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140011220",
            "telephone_number": "716-542-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRAN",
        "first_name": "SHANTHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "000525581003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0110623",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01991253",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "102966BF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "161601272",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020552502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "161601272",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NEWYORK",
            "identifier": "040426035673",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "161601272",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, NY

Sources for this page

Verify at the official NPI Registry.