Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rajesh Shivaji Kadam, MD

Individual provider Adolescent Medicine (Internal Medicine) Physician · NPI 1134336563

Dr. Rajesh Shivaji Kadam, MD is a Psychiatry in Kingsport, Tennessee. Qualified in 1991, 35 years ago. Practices with Frontier Health, a 69-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
35
Licensed in
TN, VA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1570 Waverly Rd
Kingsport, TN 37664-2523
Phone: (423) 224-1300
Fax: (423) 224-1375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 403 N State Of Franklin Rd, Johnson City, TN 37604-6034 — (423) 431-7047

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 42576 (TN)
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X · Licence 517 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 517 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0101241538 (VA)

Record details

NPI number1134336563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Frontier Health — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare