SHYAM SAMPATH RAGHAVAN M.D. NPI 1124394572

NPI Information

  • NPI: 1124394572
  • Provider Name: SHYAM SAMPATH RAGHAVAN, M.D.
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1215 LEE ST
    CHARLOTTESVILLE, VA
    ZIP 22908
  • Phone: (888) 882-3990

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NPI Details

Shyam Sampath Raghavan, M.D. is a dermatopathology pathology in Charlottesville, VA with 14 years of experience. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. Shyam Sampath Raghavan, M.D. NPI is 1124394572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-205
Phone: (888) 882-3990
Fax: (434) 243-6499

The NPI 1124394572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
  • Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)
  • Genetic sequencing localization, initial procedure (HCPCS:88365)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)

The enumeration date for this NPI number is 3/30/2012 and was last updated on 8/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathology101269055VIRGINIANo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology101269055VIRGINIANo
3208200000XPlastic SurgeryA127813CALIFORNIANo
4207ZD0900XPathologyDermatopathologyDR.0070540COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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