Individual provider Active NPI

Richard Sanda Kyaw, MD

  • Internal Medicine Physician
  • Desert Hot Springs, CA
National Provider Identifier
1225083041
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A44805 Issued in CA
Practice address
12560 Palm Dr
Desert Hot Springs, CA 92240-4570
Phone
(760) 251-3401
Fax
(760) 251-9592
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A44805 CA Primary

Addresses

Primary practice location

12560 Palm Dr
Desert Hot Springs, CA 92240-4570

Mailing address

255 N El Cielo Rd
Suite #604
Palm Springs, CA 92262-6992
Phone (760) 251-3401

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California 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
I20100201000462 CA Practitioner - Internal MedicinePractitioner - Hospitalist 0143363069 Reassigns benefits to 1 organization
Practice locations: Desert Hot Springs, CA; Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44805CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Internal Medicine CurrentSince Jan 6, 2024 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Western Horizon Medical Group PastSince Dec 5, 2021 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

12560 Palm Dr
Ste B
Dsrt Hot Spgs, CA 92240
Phone (760) 251-3401

12560 Palm Dr
Dsrt Hot Spgs, CA 92240
Phone (760) 251-3401

275 N El Cielo Rd
Ste C
Palm Springs, CA 92262

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Interoperability endpoints

  • Direct secure messaging: richard.kyaw.p73@direct.mydohc.nextgenshare.com
  • Direct secure messaging: richard.kyaw.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1225083041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N EL CIELO RD",
            "address_2": "SUITE #604",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626992",
            "telephone_number": "760-251-3401",
            "fax_number": "760-251-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12560 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922404570",
            "telephone_number": "760-251-3401",
            "fax_number": "760-251-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYAW",
        "first_name": "RICHARD",
        "middle_name": "SANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

Verify at the official NPI Registry.