ARCHANNA RADAKRISHNAN MD
NPI 1760069389
Student in an Organized Health Care Education/Training Program in Neptune, NJ

Active since March 28, 2021PECOS Enrolled
1945 NJ-33 JERSEY SHORE UNIVERSITY MEDICAL CENTER, NEPTUNE, NJ 07753(732) 775-5500 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Mar 28, 2021 (2 updates tracked since 2021).

About Archanna Radakrishnan Md NPPES

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

ARCHANNA RADAKRISHNAN MD (NPI 1760069389) is an individual student in an organized health care education/training program in Neptune, New Jersey and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760069389
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameARCHANNA RADAKRISHNANCredential: MD
Location Address1945 NJ-33 JERSEY SHORE UNIVERSITY MEDICAL CENTERNeptune, NJ 07753
Mailing Address1945 Nj-33Neptune, NJ 07753
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1760069389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA12123600 (NJ)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Archanna Radakrishnan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951809219
PECOS Enrollment IDI20250807001126
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.

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 Archanna Radakrishnan's NPI number?

The NPI number for Archanna Radakrishnan is 1760069389. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Archanna Radakrishnan located?

Archanna Radakrishnan practices at 1945 Nj-33 Jersey Shore University Medical Center, Neptune, NJ 07753. The listed phone number is (732) 775-5500.

What is Archanna Radakrishnan's specialty?

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

Is Archanna Radakrishnan enrolled in Medicare?

Yes. Archanna Radakrishnan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Archanna Radakrishnan was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.