Individual provider Active NPI

Sundeep M Nayak, M.D.

  • Diagnostic Radiology Physician
  • San Leandro, CA
National Provider Identifier
1174567655
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A66873 Issued in CA
Practice address
2500 Merced St
Ste 1649
San Leandro, CA 94577-4201
Phone
(510) 784-4569
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A66873 CA Primary

Addresses

Primary practice location

2500 Merced St
Ste 1649
San Leandro, CA 94577-4201

Mailing address

2500 Merced St
Ste 1649
San Leandro, CA 94577-4201

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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
I20050518000548 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Radiation Oncology 7113968314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000

1200 El Camino Real
South San Francisco, CA 94080-3208
Phone (650) 742-2000

2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000

2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone (510) 752-1000

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone (510) 248-3000

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone (707) 393-4000

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone (925) 813-6500

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000

700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-1000

710 Lawrence Express Way
Santa Clara, CA 95051-5173
Phone (408) 851-1000

7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000

901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000

Hospital & facility affiliations

  • Kaiser Foundation Hospital - San Leandro Hospital, San Leandro, CA, CCN 050777
  • Kaiser Foundation Hospital - Fremont Hospital, Fremont, CA, CCN 050512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66873CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jan 1, 2000 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology Current Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology CurrentSince Apr 13, 2011 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 1, 2000 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 13, 2011 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology PastSince Mar 7, 1991 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology PastSince Jun 26, 2007 Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2500 Merced St
Ste 1649
San Leandro, CA 94577
Phone (510) 784-4569

2500 Merced St
San Leandro, CA 94577
Phone (510) 454-1000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1174567655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MERCED ST",
            "address_2": "STE 1649",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MERCED ST",
            "address_2": "STE 1649",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774201",
            "telephone_number": "510-784-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "SUNDEEP",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A66873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2500 Merced St",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945774201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.