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SHRINIVAS RADDER MD
NPI 1942080577
Radiology - Pediatric Radiology in Little Rock, AR

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY # 104, LITTLE ROCK, AR 72202(501) 364-1175(501) 364-4082 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Oct 2, 2023 (2 updates tracked since 2023).

About Shrinivas Radder Md NPPES

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

SHRINIVAS RADDER MD (NPI 1942080577) is an individual pediatric radiology provider in Little Rock, Arkansas, licensed in Arkansas (E-18402) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942080577
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameSHRINIVAS RADDERCredential: MD
Location Address1 CHILDRENS WAY # 104Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-1175
Fax(501) 364-4082
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 2, 2023
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1942080577 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 AR · E-18402
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 ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License E-18402 (AR)
1 CHILDRENS WAY # 104, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shrinivas Radder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870028434
PECOS Enrollment IDI20241120000989
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 Reassignments

3

Medicare enrollment records show Shrinivas Radder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
Same address
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
3.2 mi
Family Medicine
1401 W CAPITOL AVE
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1114255353 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1932872975 (501) 686-8000
Arkansas Childrens Professional Services Organization LLC
3.4 mi
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMIAH JAMES SABADO
Radiology (Diagnostic Radiology)
1 CHILDRENS WAY # 104
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1175
DR. UMA MAHESH MATAPATHI M.D
Radiology (Diagnostic Radiology)
1 CHILDRENS WAY # 104
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
SCOTT A LILE MD
Radiology (Pediatric Radiology)
1 CHILDRENS WAY # 104
LITTLE ROCK, AR 72202
Pulaski County (501) 364-4917
JASMEET SINGH MBBS, MD
Radiology (Diagnostic Radiology)
1 CHILDRENS WAY # 104
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. JAMES SORENSEN MD
Radiology (Diagnostic Radiology)
1 CHILDRENS WAY # 104
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1175

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 Shrinivas Radder's NPI number?

The NPI number for Shrinivas Radder is 1942080577. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Shrinivas Radder located?

Shrinivas Radder practices at 1 Childrens Way # 104, Little Rock, AR 72202. The listed phone number is (501) 364-1175.

What is Shrinivas Radder's specialty?

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

Is Shrinivas Radder enrolled in Medicare?

Yes. Shrinivas Radder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shrinivas Radder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shrinivas Radder reassigns Medicare benefits to 3 organizations: Arkansas Childrens Hospital (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Professional Services Organization LLC (Little Rock, AR). Each 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 Shrinivas Radder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shrinivas Radder accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shrinivas Radder 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 Shrinivas Radder was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.