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: July 19, 2026.

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

  • Individual
  • Female
  • Years of Experience 8
  • Pediatrics
  • Pediatric Emergency Medicine
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About NANDITHA SHIVAPRAKASH

This page provides the complete NPI Profile along with additional information for Nanditha Shivaprakash, a pediatrician established in Boston, Massachusetts with a medical specialization in Pediatrics, focusing in pediatric emergency medicine and more than 8 years of experience. She graduated from Drexel University College Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1811550700 assigned on April 2019. The practitioner's primary taxonomy code is 2080P0204X with license number 292870 (MA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1811550700 Verify this NPI
Provider Name
NANDITHA SHIVAPRAKASH
Gender
Female
Entity Type
Individual
Location Address
840 HARRISON AVE BOSTON, MA 02118
Location Phone
(908) 268-4092
Mailing Address
25 HEARTHSTONE CIR NATICK, MA 01760
Mailing Phone
(908) 268-4092
Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
04-17-2019
Last Update Date
06-29-2025
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A pediatrician like Nanditha Shivaprakash is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Emergency Medicine

Taxonomy Code
2080P0204X
Type
Allopathic & Osteopathic Physicians
License No.
292870
License State
MA
Taxonomy Description
A pediatrician who has special qualifications to manage emergencies in infants and children.

Medicare Participation & PECOS Enrollment Status

Nanditha Shivaprakash is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Nanditha Shivaprakash is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5597134874

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250715003535

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for NANDITHA SHIVAPRAKASH

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
840 HARRISON AVE
BOSTON, MA 02118
Pediatrics
840 HARRISON AVE, MENINO 4
BOSTON, MA 02118
Pediatrics (Neonatal-Perinatal Medicine)
840 HARRISON AVE, MENINO 3
BOSTON, MA 02118
Dentist (Oral and Maxillofacial Surgery)
840 HARRISON AVE
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Nurse Practitioner (Pediatrics)
840 HARRISON AVE, MENINO 3
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Pediatrics (Neonatal-Perinatal Medicine)
840 HARRISON AVE, MENINO 3
BOSTON, MA 02118
Pediatrics (Neonatal-Perinatal Medicine)
840 HARRISON AVE, MENINO 3
BOSTON, MA 02118
Internal Medicine (Pulmonary Disease)
840 HARRISON AVE, BOSTON MEDICAL CENTER
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Pediatrics
840 HARRISON AVE, MENINO 4
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Pediatrics (Neonatal-Perinatal Medicine)
840 HARRISON AVE, MENINO 3
BOSTON, MA 02118
Pediatrics (Neonatal-Perinatal Medicine)
840 HARRISON AVE, MENINO 3
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Pediatrics (Pediatric Emergency Medicine)
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Counselor (Mental Health)
840 HARRISON AVE
BOSTON, MA 02118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811550700, enumerated as an "individual" on April 17, 2019.

The provider is located at 840 HARRISON AVE BOSTON, MA 02118 and the phone number is (908) 268-4092.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.