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NANDITHA SHIVAPRAKASH
NPI 1811550700
Pediatrics - Pediatric Emergency Medicine in Boston, MA

Active since April 17, 2019PECOS Enrolled
840 HARRISON AVE, BOSTON, MA 02118(908) 268-4092 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2025, Jul 28, 2022, Apr 17, 2019 (3 updates tracked since 2019).

About Nanditha Shivaprakash NPPES

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

NANDITHA SHIVAPRAKASH (NPI 1811550700) is an individual pediatric emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (292870) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811550700
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameNANDITHA SHIVAPRAKASH
Location Address840 HARRISON AVEBoston, MA 02118-2905
Mailing Address25 Hearthstone CirNatick, MA 01760-1333 · (908) 268-4092
Phone(908) 268-4092
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateJune 29, 20253 updates tracked since enumeration
NPPES CertifiedJune 29, 2025
✔ NPI 1811550700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 292870
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
840 HARRISON AVE, Boston, MA 02118
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nanditha Shivaprakash 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.

ALEXANDER R. OLIVER PA-C
Physician Assistant
840 HARRISON AVE, MENINO BUILDING
BOSTON, MA 02118
Suffolk County (617) 638-8609
DAVIDA MARTI SCHIFF I M.D.
Pediatrics
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Suffolk County (617) 414-4511
MYOUNG JIN KIM MD
Radiology (Vascular & Interventional Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-6610
DR. SABRINA QUI RONG LIEW MD
Student in an Organized Health Care Education/Training Program
840 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-8000
ILSE CASTRO-ARAGON M.D.
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-6610
DR. ASHLEY DAVIDOFF MB, BCH
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-6610
DARLENE M KAMEL NP
Nurse Practitioner (Acute Care)
840 HARRISON AVE, MENINO BUILDING
BOSTON, MA 02118
Suffolk County (617) 638-8609
CHRISTINA A LEBEDIS MD
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-6610

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 Nanditha Shivaprakash's NPI number?

The NPI number for Nanditha Shivaprakash is 1811550700. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Nanditha Shivaprakash located?

Nanditha Shivaprakash practices at 840 Harrison Ave, Boston, MA 02118. The listed phone number is (908) 268-4092.

What is Nanditha Shivaprakash's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Nanditha Shivaprakash enrolled in Medicare?

Yes. Nanditha Shivaprakash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nanditha Shivaprakash was last updated on June 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.