NPIMap

Individual provider Active NPI

Rajiv Sinanan, MBBS

  • Nephrology Physician
  • Cookeville, TN
National Provider Identifier
1457737728
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
60853 Issued in TN
Practice address
221 N Oak Ave
Cookeville, TN 38501-2437
Phone
(931) 646-0880
Fax
(866) 834-5618
NPI assigned
Aug 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 60853 TN Primary

Addresses

Primary practice location

221 N Oak Ave
Cookeville, TN 38501-2437

Mailing address

221 N Oak Ave
Cookeville, TN 38501-2437
Phone (931) 646-0880

Other practice location 1

1611 NW 12th Ave
1027
Miami, FL 33136-1005
Phone (786) 590-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221116002989 AZ Practitioner - Nephrology 9638594039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

7862 E Florentine Rd
Suite 120
Prescott Valley, AZ 86314-2691
Phone (928) 237-3481

Hospital & facility affiliations

  • DaVita Cottonwood Dialysis Dialysis facility, Cottonwood, AZ, CCN 032562
  • Fresenius Kidney Care Cottonwood Dialysis facility, Cottonwood, AZ, CCN 032664
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60853TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Nov 14, 2022 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Nov 14, 2022 Accepting new patients

Locations

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

7862 E Florentine Rd
Ste 120
Prescott Valley, AZ 86314
Phone (928) 237-3481

Interoperability endpoints

  • Direct secure messaging: rajiv.sinanan.1@11625.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1457737728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-646-0880",
            "fax_number": "866-834-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-646-0880",
            "fax_number": "866-834-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "1027",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "786-590-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINANAN",
        "first_name": "RAJIV",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "60853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.