Individual provider Active NPI

Ashutosh Hegde Udipi, M.D.

  • Anesthesiology Physician
  • Carmichael, CA
National Provider Identifier
1225569379
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A173109 Issued in CA
Practice address
6501 Coyle Ave
Carmichael, CA 95608-0306
Phone
(916) 537-5000
Fax
(916) 851-2884
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A173109 CA Primary

Addresses

Primary practice location

6501 Coyle Ave
Carmichael, CA 95608-0306

Mailing address

5530 Birdcage St Ste 145
Citrus Heights, CA 95610-7690
Phone (209) 956-7725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20210812001309 CA Practitioner - Anesthesiology 4981974714 Reassigns benefits to 1 organization
I20240814002867 TX Practitioner - Anesthesiology 4981974714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 851-2884

Hospital & facility affiliations

  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173109CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Afterglow Anesthesia PLLC Anesthesiology CurrentSince Mar 6, 2025 Accepting new patients
Luxe Anesthesia, PLLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1600 Rio Grande St
Austin, TX 78701
Phone (972) 863-1155

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

17950 Preston Rd
Ste 75
Dallas, TX 75252
Phone (972) 267-5400

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

750 13th Ave
Ft Worth, TX 76104
Phone (817) 334-5050

4100 Mapleshade Ln
Plano, TX 75093
Phone (917) 216-6285

4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Interoperability endpoints

  • Direct secure messaging: audipi81249@direct.phhs.org

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.

Hospital & facility affiliations 1

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1225569379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 BIRDCAGE ST STE 145",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107690",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 COYLE AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080306",
            "telephone_number": "916-537-5000",
            "fax_number": "916-851-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDIPI",
        "first_name": "ASHUTOSH",
        "middle_name": "HEGDE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A173109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.