Kaustubh Vasant Patankar, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A43218 Issued in CA

Practice address

3770 Elizabeth St
Riverside, CA 92506-2527

Phone

(951) 352-3937

Fax

(951) 352-2839

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Specialists Medical Group IncGroup PAC ID 9830164359, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
• Parkview Community Hospital Medical Center Hospital, Riverside, CA, CCN 050102
• San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

Merit-based Incentive Payment System (MIPS)

Final score

38.36 of 100Reported as individual

Quality

15

Improvement activities

0

Cost

74.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJCEDD
• Direct secure messaging: kaustubh.patankar.1@17575.direct.athenahealth.com
• Direct secure messaging: kpatankar182076@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiology Specialists Medical Group, Inc.

  • Specialist
  • Riverside, CA
  • NPI 1467487983
  Medicare reassignment Care Compare group NPD Authorized official
• Clarity Cardiac CT LLC

  • Diagnostic Radiology Physician
  • Riverside, CA
  • NPI 1306552229
  NPD
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oak Brook Terrace, IL
  • NPI 1770830606
  NPD
• Advanced Dermatology & Skin Cancer Specialists

  • Dermatology Physician
  • Temecula, CA
  • NPI 1881023927
  NPD (past)
• Community Alliance Medical Group Inc

  • Family Medicine Physician
  • Yucaipa, CA
  • NPI 1699545285
  NPD (past)
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• Oliverio Medical Corporation

  • Family Medicine Physician
  • Banning, CA
  • NPI 1710415492
  NPD (past)
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  NPD (past)
• Riverside Healthcare System, L.P.

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)

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

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  Care Compare affiliation
• Riverside Healthcare System, L.P.

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1114971660
  Care Compare affiliation
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  Care Compare affiliation
• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1083635593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062527",
            "telephone_number": "951-352-3937",
            "fax_number": "951-352-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062527",
            "telephone_number": "951-352-3937",
            "fax_number": "951-352-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATANKAR",
        "first_name": "KAUSTUBH",
        "middle_name": "VASANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43218",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43218",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A43218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "00A432180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Pasillas
• Michael Lazell Paskel-Flannigan
• Maryam Pasos
• Clelya Pasquier
• Michela Roberta Passoni
• Alyanna Lanzel Roque Patawaran, MD
• Rebecca Jean Patchin
• William Joseph Pate, RADT-I
• Patel & Kagalwala Professional Dental Corp.
• Patel Professional Dental Corp.

• Interventional Cardiology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.