XAVIER R. PACKIANATHAN MD – NPI #1669692059
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

XAVIER PACKIANATHAN is a radiologist located in TAMUNING, GU. NPPES has assigned the NPI number 1669692059 to XAVIER PACKIANATHAN on April 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 6 years ago on Mar 16, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for XAVIER PACKIANATHAN below.

NPI Profile for
XAVIER R. PACKIANATHAN

NPI Number
1669692059
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
XAVIER R. PACKIANATHAN
Credentials
MD
Primary location
633 GOV CARLOS CAMACHO RD
SUITE 210
TAMUNING, GU 96913
Phone: (671) 649-1001 Fax:
1 Other location(s):
865 Jefferson Ave
SUITE F150C
Memphis, TN 38163
Phone: (901) 448-4454
Mailing address
116 REDONDO DE FRANCISCO ST
TAMUNING, GU 96913-3718
Phone: (671) 483-9226 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 16, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)		 GU M-1944
2085R0202X
- Radiology / Diagnostic Radiology		 TN MD42582

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
XAVIER PACKIANATHAN is affiliated with the following medical group(s):
  • HOSPITAL
    • SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL
      3635 VISTA AVE
      SAINT LOUIS, MO 63110
    • SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS
      6420 CLAYTON RD
      RICHMOND HEIGHTS, MO 63117

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.