Individual provider Active NPI

Sundararajan Srikanth, M.D.

  • Cardiovascular Disease Physician
  • Pomona, CA
National Provider Identifier
1104934082
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A79236 Issued in CA
Practice address
1866 N. Orange Grove Ave Suite 202
Pomona, CA 91767-3031
Phone
(909) 623-8796
Fax
(909) 623-3076
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79236 CA
Cardiovascular Disease Physician 207RC0000X A79236 CA Primary

Addresses

Primary practice location

1866 N. Orange Grove Ave Suite 202
Pomona, CA 91767-3031

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other identifiers 1

IdentifierTypeStateIssuer
00A792360MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 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
I20110613000239 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042497414 Reassigns benefits to 7 organizations
I20230111001169 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0042497414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

900 Greenley Rd
Suite 911
Sonora, CA 95370-5287
Phone (209) 532-0511

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79236CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Home Health Services CurrentSince Jul 28, 2013 Accepting new patients
Central California Cardiovascular Cardiovascular Disease CurrentSince Apr 19, 2014 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Dec 18, 2011 Accepting new patients
First Choice Physician Partners CurrentSince Jan 1, 2021 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Aug 22, 2018 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital CurrentSince Jul 27, 2023 Accepting new patients
First Choice Physician Partners Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
First Choice Physician Partners Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sonora Community Hospital Cardiovascular Disease CurrentSince Jul 27, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Upson Surgical Associates, LLC CurrentSince Oct 1, 2022 Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince Jul 28, 2013 Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Aug 22, 2018 Accepting new patients
Sonora Community Hospital Internal Medicine CurrentSince Oct 23, 2023 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients
Sonora Community Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Indiana University Health Inc Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

47111 Monroe St
#F
Indio, CA 92201
Phone (760) 347-6191

47647 Caleo Bay Dr
Ste 210
La Quinta, CA 92253
Phone (760) 760-5649

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1801 W Olympic Blvd
Pasadena, CA 91199

840 Towne Center Dr
Pomona, CA 91767

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

2001 High St
Selma, CA 93662
Phone (559) 753-0085

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

900 Greenley Rd
Ste 911
Sonora, CA 95370
Phone (209) 532-0511

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAIHAA

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 12

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1104934082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 N. ORANGE GROVE AVE SUITE 202",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673031",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIKANTH",
        "first_name": "SUNDARARAJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79236",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A79236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A792360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.