NPIMap

Individual provider Active NPI

Sangeetha Potty Murthy, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1053393843
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84950 Issued in CA
Practice address
7830 Clairemont Mesa Blvd
Suite 287
San Diego, CA 92111-1619
Phone
(858) 874-8741
Fax
(888) 420-4642
NPI assigned
Nov 17, 2005
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84950 CA Primary

Addresses

Primary practice location

7830 Clairemont Mesa Blvd
Suite 287
San Diego, CA 92111-1619

Mailing address

2020 Genesee Ave
San Diego, CA 92123-4219
Phone (858) 499-2710

Other identifiers 2

IdentifierTypeStateIssuer
00A849500MedicaidCA
A84950OtherCALICENSE

Other names 1

  • Dr. Sangeetha Hariharan Potty Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001434 CA Practitioner - Internal Medicine 4688568587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84950CAMDMarriage & Family Therapist
A84950CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 28, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Aug 28, 2017 Accepting new patients
Sangeetha Murthy Incorporated Internal Medicine CurrentSince May 19, 2009 Accepting new patients
Genesee Medical Group Inc Internal Medicine Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Gul Chablani, MD, PC Internal Medicine Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Sangeetha Murthy, Inc Internal Medicine Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

7830 Clairemont Mesa Blvd
Ste 287
San Diego, CA 92111
Phone (858) 874-8741

Interoperability endpoints

  • Direct secure messaging: smurthy24882@sharphealthcare.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1053393843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GENESEE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234219",
            "telephone_number": "858-499-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 CLAIREMONT MESA BLVD",
            "address_2": "SUITE 287",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111619",
            "telephone_number": "858-874-8741",
            "fax_number": "888-420-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "SANGEETHA",
        "middle_name": "POTTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A849500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A84950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANGEETHA",
            "last_name": "POTTY",
            "middle_name": "HARIHARAN",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.