Individual provider Active NPI

Sai Praveen Haranath, MBBS

  • Critical Care Medicine (Internal Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1053366344
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A84840 Issued in CA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
233187MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150417001687 ID Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9931171717 Reassigns benefits to 1 organization
I20181226000213 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9931171717 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25176ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Sep 17, 2022 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Nov 22, 2018 Accepting new patients
Fletcher Hospital Inc. CurrentSince Sep 17, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Nov 22, 2018 Accepting new patients
Vibra Physicians LLC CurrentSince Feb 15, 2015 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

  • Direct secure messaging: sharanath310911@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: sharanath407884@direct.ochsner.org
  • Direct secure messaging: sharanath419269@direct.centracare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.