Active NPI
Sai Praveen Haranath, MBBS
- Critical Care Medicine (Internal Medicine) Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A84840
- Practice address
- 1425 S Main St
The Permanente Medical Group, Department of Pulmonology
Walnut Creek, CA 94596-5318 - Phone
- (925) 295-4050
- Fax
- (925) 295-6488
- NPI assigned
- May 24, 2006
- Last updated
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A84840 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A84840 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | A84840 | CA |
Addresses
Primary practice location
1425 S Main St
The Permanente Medical Group, Department of Pulmonology
Walnut Creek, CA 94596-5318
Mailing address
4A Rd 10 C Mla MP Colony
Jubilee Hills
Hyderabad, TELANGANA 500033
IN
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233187 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25176 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients |
Locations
2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700
520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148
50 Hospital Dr
Ste 1C
Hendersonville, NC 28792
Phone (828) 654-6000
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
Interoperability endpoints
- sharanath310911@carolinashealthcaresystem.direct-ci.com
- sharanath407884@direct.ochsner.org
- sharanath419269@direct.centracare.com
- sharanathmd160468@direct.froedtert.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Hendersonville
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
-
dba AdventHealth Family Medicine & Behavioral Health Clinic Saluda
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
dba Western Rockingham Family Medicine
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1053366344",
"addresses": [
{
"country_code": "IN",
"country_name": "India",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "4A RD 10 C MLA MP COLONY",
"address_2": "JUBILEE HILLS",
"city": "HYDERABAD",
"state": "TELANGANA",
"postal_code": "500033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S MAIN ST",
"address_2": "THE PERMANENTE MEDICAL GROUP, DEPARTMENT OF PULMONOLOGY",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965318",
"telephone_number": "925-295-4050",
"fax_number": "925-295-6488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARANATH",
"first_name": "SAI PRAVEEN",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A84840",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A84840",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A84840",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "233187",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.