Individual provider Active NPI

Atmaram S Pai Panandiker, MD

  • Radiation Oncology Physician
  • San Diego, CA
National Provider Identifier
1871552950
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C130278 Issued in CA
Practice address
9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone
(503) 989-3483
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101236519 VA
Radiation Oncology Physician 2085R0001X 01094918A IN
Radiation Oncology Physician 2085R0001X C130278 CA Primary

Addresses

Primary practice location

9730 Summers Ridge Rd
San Diego, CA 92121-3101

Mailing address

354 N Willett St
Memphis, TN 38112-5120

Other practice location 1

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 944-2524

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apaipanandiker@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK, IN3 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
I20080220000668 TN Practitioner - Diagnostic RadiologyPractitioner - Radiation OncologyPractitioner - Other (Physician) 0749364354
I20180322000743 OK Practitioner - Radiation Oncology 0749364354
I20241122002447 IN Practitioner - Radiation Oncology 0749364354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
University Radiation Oncology Associates, Inc.Group PAC ID 6507831856, 15 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130278CAMDMarriage & Family Therapist
42538TNMDPharmacist
C130278CAMDRadiation Oncology Physician
0101236519VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
University Radiation Oncology Associates, Inc. Radiation Oncology CurrentSince Jan 1, 2025 Accepting new patients
Norman Urology Associates PC CurrentSince Dec 1, 2019 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Oklahoma Sleep Institute LLC Past Accepting new patients

Locations

2769 Solution Ctr
Chicago, IL 60677

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

11725 Illinois St
Ste 355
Carmel, IN 46032
Phone (317) 814-4533

11645 Illinois St
Carmel, IN 46032
Phone (317) 688-4800

10212 Lantern Rd
Fishers, IN 46037
Phone (317) 678-2700

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

710 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 274-2524

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

2117 Riverwalk Dr
#A
Moore, OK 73160
Phone (405) 360-9966

2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4
  • Direct secure messaging: apaipanandiker@direct.iuhealth.org

Organizations & group practices 5

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 1

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1871552950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 N WILLETT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 SUMMERS RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213101",
            "telephone_number": "503-989-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Eskenazi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025187",
            "country_code": "US",
            "telephone_number": "317-944-2524",
            "fax_number": "317-944-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAI PANANDIKER",
        "first_name": "ATMARAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101236519",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01094918A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C130278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apaipanandiker@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 Eskenazi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.