Individual provider Active NPI

Pavan K Davuluri, MD

  • Anesthesiology Physician
  • Redding, CA
National Provider Identifier
1073580577
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A55171 Issued in CA
Practice address
1100 Butte St
Redding, CA 96001
Phone
(530) 241-0410
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A55171 CA Primary

Addresses

Primary practice location

1100 Butte St
Redding, CA 96001

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000446 CA Practitioner - Anesthesiology 5597661173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Far Northern Anesthesia ConsultantsGroup PAC ID 9032463955, 5 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.78 of 100Reported as group
Quality
87.59
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Creek Anesthesia Medical Group Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
Far Northern Anesthesia Consultants Anesthesiology CurrentSince Jun 30, 2018 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology Past Accepting new patients
Valley Anesthesia Associates PC Anesthesiology PastSince Jul 1, 1997 Accepting new patients
Plains Anesthesia, PLLC Anesthesiology PastSince Jan 1, 2017 Accepting new patients

Locations

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

2740 M St
Merced, CA 95340
Phone (209) 384-6444

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1238 West St
Redding, CA 96001
Phone (530) 241-5499

Organizations & group practices 5

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 5

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1073580577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-241-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVULURI",
        "first_name": "PAVAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A55171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.