DR. SHANKAR RAJESWARAN M.D.
NPI 1710113253
Radiology - Pediatric Radiology in Philadelphia, PA

Active since June 10, 2009PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGY, PHILADELPHIA, PA 19104(215) 590-1190(215) 590-4668 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shankar Rajeswaran M.d. NPPES

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

DR. SHANKAR RAJESWARAN M.D. (NPI 1710113253) is an individual pediatric radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT196869) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710113253
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDR. SHANKAR RAJESWARANCredential: M.D.
Location Address3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGYPhiladelphia, PA 19104-4319
Mailing Address2021 Chestnut Street, Apt 705Philadelphia, PA 19103 · (610) 453-2913
Fax(215) 590-4668
Sole ProprietorNo
Enumeration DateJune 10, 2009
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
NPI 1710113253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License Licensed in PA · MT196869
Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 036-130483 (IL)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

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. Shankar Rajeswaran M.d. 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.

Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710113253, enumerated as an "individual" on June 10, 2009.

The provider is located at 3401 CIVIC CENTER BLVD DIVISION OF RADIOLOGY PHILADELPHIA, PA 19104 and the phone number is (215) 590-1190.

Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.