Individual provider Active NPI

Anupama S.Q. Kathiresan, M.D.

  • Reproductive Endocrinology Physician
  • Santa Monica, CA
National Provider Identifier
1194927285
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A120939 Issued in CA
Practice address
500 Broadway Ste 7
Santa Monica, CA 90401-2988
Phone
(347) 343-4475
Fax
(646) 741-8785
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X Q5451 TX
Reproductive Endocrinology Physician 207VE0102X A120939 CA Primary

Addresses

Primary practice location

500 Broadway Ste 7
Santa Monica, CA 90401-2988

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (786) 537-7327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q5451TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fahimeh Sasan,D.O., P.C Reproductive Endocrinology Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akathiresan38260@direct.uclahealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1194927285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514",
            "telephone_number": "786-537-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROADWAY STE 7",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012988",
            "telephone_number": "347-343-4475",
            "fax_number": "646-741-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHIRESAN",
        "first_name": "ANUPAMA",
        "middle_name": "S.Q.",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "Q5451",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A120939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.