Individual provider

Sanjay Prabhu, M.D.

Pediatric Radiology Physician Children's Hospital Medicare enrolled

Sanjay Prabhu, M.D. is a Pediatric Radiology Physician in Boston, MA, registered under NPI 1861627796. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 300 LONGWOOD AVENUE CHILDREN'S HOSPITAL BOSTON/RADIOLOGY, Boston, MA 02115. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

300 LONGWOOD AVENUE CHILDREN'S HOSPITAL BOSTON/RADIOLOGY, Boston, MA 02115 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
239721 MA Pediatric Radiology Physician primary
239721 MA Children's Hospital

This provider holds licence 239721 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
1153477302
Enrollment ID
I20090914000418

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Radiology covers

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. NUCC Health Care Provider Taxonomy, code 2085P0229X
Allopathic & Osteopathic Physicians Radiology Pediatric Radiology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085P0229X Pediatric Radiology Physician Pediatric Radiology 239721 MA primary
282NC2000X Children's Hospital Children 239721 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1861627796 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 21, 2009
Last updatedJun 3, 2014
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 300 LONGWOOD AVENUE
CHILDREN'S HOSPITAL BOSTON/RADIOLOGY
Boston, MA 02115
(617) 355-6936
Fax (617) 730-0549
This record was last updated on Jun 3, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1861627796 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 6 1 6 2 7 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 3 1 3 2 5 7 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1861627796?
NPI 1861627796 is the National Provider Identifier assigned to Sanjay Prabhu, M.D. in Boston, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Radiology cover?
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…
How do I contact Sanjay Prabhu, M.D.?
The phone number on file with NPPES is (617) 355-6936, last updated Jun 3, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sanjay Prabhu, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1861627796 a valid number?
Yes. 1861627796 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.