Individual provider Active NPI

Arjun Kalyanpur, M.D.

  • Diagnostic Radiology Physician
  • Ardmore, PA
National Provider Identifier
1376528315
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD418327 Issued in PA
Practice address
22 Llanfair Rd Unit 6
Ardmore, PA 19003-2320
Phone
(610) 785-6327
Fax
(775) 242-2409
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A81037 CA
Diagnostic Radiology Physician 2085R0202X 34824 CT
Diagnostic Radiology Physician 2085R0202X MD418327 PA Primary

Addresses

Primary practice location

22 Llanfair Rd Unit 6
Ardmore, PA 19003-2320

Mailing address

22 Llanfair Rd Unit 6
Ardmore, PA 19003-2320
Phone (610) 785-6327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81037CAMDDiagnostic Radiology Physician
34824CTMDDiagnostic Radiology Physician
MD418327PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teleradiology Solutions PC Diagnostic Radiology CurrentSince Jun 4, 2004 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akalyanur2943159@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1376528315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LLANFAIR RD UNIT 6",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032320",
            "telephone_number": "610-785-6327",
            "fax_number": "775-242-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LLANFAIR RD UNIT 6",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032320",
            "telephone_number": "610-785-6327",
            "fax_number": "775-242-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYANPUR",
        "first_name": "ARJUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81037",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "34824",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD418327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.