1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. PRADEEP SUNDARAM RAJENDRAN MD, PHD
NPI 1659958965
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 24, 2021PECOS Enrolled

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2021, Apr 9, 2021, Mar 25, 2021 (3 updates tracked since 2021).

About Dr. Pradeep Sundaram Rajendran Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRADEEP SUNDARAM RAJENDRAN MD, PHD (NPI 1659958965) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659958965
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PRADEEP SUNDARAM RAJENDRANCredential: MD, PHD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696
Phone(617) 643-7568
Sole ProprietorYes
Enumeration DateMarch 24, 2021
Last NPPES UpdateJune 13, 20213 updates tracked since enumeration
NPPES CertifiedJune 13, 2021
✔ NPI 1659958965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pradeep Sundaram Rajendran Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeep Rajendran's NPI number?

The NPI number for Pradeep Rajendran is 1659958965. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Pradeep Rajendran located?

Pradeep Rajendran practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-7568.

What is Pradeep Rajendran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pradeep Rajendran enrolled in Medicare?

Yes. Pradeep Rajendran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pradeep Rajendran was last updated on June 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.