SANJAY P PRABHU M.D.
NPI 1861627796
Radiology - Pediatric Radiology in Boston, MA

Q: What is Sanjay Prabhu's NPI number?

The NPI number for Sanjay Prabhu is 1861627796. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Q: What is Sanjay Prabhu's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Prabhu was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 21, 2009PECOS Enrolled

300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL BOSTON/RADIOLOGY, BOSTON, MA 02115(617) 355-6936(617) 730-0549 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sanjay P Prabhu M.d. NPPES

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

SANJAY P PRABHU M.D. (NPI 1861627796) is an individual pediatric radiology provider in Boston, Massachusetts, licensed in Massachusetts (239721) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1861627796

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameSANJAY P PRABHUCredential: M.D.

Location Address300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL BOSTON/RADIOLOGYBoston, MA 02115

Mailing Address300 Longwood Avenue, Children's Hospital Boston/radiologyBoston, MA 02115 · (617) 355-6936 · Fax (617) 730-0549

Phone(617) 355-6936

Fax(617) 730-0549

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateMay 21, 2009

Last NPPES UpdateJune 3, 2014

✔ NPI 1861627796 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 MA · 239721

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 ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X · License 239721 (MA)

300 LONGWOOD AVENUE, Boston, MA 02115

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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)

Sanjay P Prabhu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153477302

PECOS Enrollment IDI20090914000418

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.

KRINJEELA BAZGAIN MBBS,MS,MCH,FICO,FAI

Student in an Organized Health Care Education/Training Program

300 LONGWOOD AVENUE, FEGAN 4
BOSTON, MA 02115

Suffolk County (617) 355-6401

DR. NADINE APRAHAMIAN

Pediatrics

300 LONGWOOD AVENUE
BOSTON, MA 02115

Suffolk County (401) 338-2068

DR. ROBERT COOPER SHAMBERGER MD

Surgery (Pediatric Surgery)

300 LONGWOOD AVENUE
BOSTON, MA 02115

Suffolk County (617) 355-8326

ELENA ZION M.D.

Pediatrics (Pediatric Nephrology)

300 LONGWOOD AVENUE, BCH3038
BOSTON, MA 02115

Suffolk County (617) 355-6129

ALEXIS HEALY-WURZBURG OTR/L

Occupational Therapist

300 LONGWOOD AVENUE
BOSTON, MA 02115

Suffolk County (617) 355-6588

MRS. ALESSANDRA LEMOS DE CARVALHO M.D.

Student in an Organized Health Care Education/Training Program

300 LONGWOOD AVENUE, BOSTON CHILDREN'S HOSPITAL, HOUSESTAFF LOUNGE
BOSTON, MA 02115

Suffolk County (617) 355-6000

DR. RYAN PERKINS M.D.

Pediatrics (Pediatric Pulmonology)

300 LONGWOOD AVENUE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MEREDITH GIGLIA VAN DER VELDEN M.D.

Pediatrics (Pediatric Critical Care Medicine)

300 LONGWOOD AVENUE, BOSTON CHILDREN'S HOSPITAL
BOSTON, MA 02115

Suffolk County (617) 355-7327

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 Sanjay Prabhu's NPI number?

The NPI number for Sanjay Prabhu is 1861627796. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Sanjay Prabhu located?

Sanjay Prabhu practices at 300 Longwood Avenue Children's Hospital Boston/Radiology, Boston, MA 02115. The listed phone number is (617) 355-6936.

What is Sanjay Prabhu's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Sanjay Prabhu enrolled in Medicare?

Yes. Sanjay Prabhu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjay Prabhu was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.