Individual provider Active NPI

Saranya Radhakrishnan, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1912638339
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77724 Issued in AZ
Practice address
1650 Grand Concourse
Bronx, NY 10457-7697
Phone
(718) 960-1449
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77724 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7697

Mailing address

8525 Aspen PL
Jamaica, NY 11432-2129

Other practice location 1

1851 Mesquite Ave Ste 202
Lake Havasu City, AZ 86403-5681
Phone (928) 854-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260102000187 AZ Practitioner - Pediatric Medicine 9638665342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1851 Mesquite Ave
Suite 210
Lake Havasu City, AZ 86403-5681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77724AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HRMC, LLC Pediatrics CurrentSince Oct 1, 2025 Accepting new patients
HRMC, LLC CurrentSince Oct 1, 2025 Accepting new patients
HRMC, LLC Past Accepting new patients
Havasu Regional Medical Center LLC Past Accepting new patients

Locations

1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

Interoperability endpoints

  • Direct secure messaging: saranya.radhakrishnan.1@19231.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1912638339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 ASPEN PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577697",
            "telephone_number": "718-960-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Mesquite Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035681",
            "country_code": "US",
            "telephone_number": "928-854-0094",
            "fax_number": "928-680-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "SARANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "77724",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.