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

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: October 25, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sanjay Prabhu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Student in an Organized Health Care Education/Training Program
300 LONGWOOD AVENUE, FEGAN 4
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
300 LONGWOOD AVENUE, DEPARTMENT OF ANESTHESIOLOGY, BOSTON CHILDREN'S HOSPITA
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVENUE
BOSTON, MA 02115
Surgery (Pediatric Surgery)
300 LONGWOOD AVENUE
BOSTON, MA 02115
Pediatrics (Pediatric Nephrology)
300 LONGWOOD AVENUE, BCH3038
BOSTON, MA 02115
Occupational Therapist
300 LONGWOOD AVENUE
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
300 LONGWOOD AVENUE, BOSTON CHILDREN'S HOSPITAL, HOUSESTAFF LOUNGE
BOSTON, MA 02115
Pediatrics (Pediatric Pulmonology)
300 LONGWOOD AVENUE
BOSTON, MA 02115

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.

Which organization bills Medicare for Sanjay Prabhu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Prabhu reassigns Medicare benefits to Children's Hospital Radiology Foundation, Inc. (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjay Prabhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Prabhu accept?

Health plans from Taro Health list Sanjay Prabhu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.