Individual provider Active NPI

Srinivas Bhawani Vuthoori, M.D.

  • Internal Medicine Physician
  • Blythe, CA
National Provider Identifier
1235183278
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C54634 Issued in CA
Practice address
604 E Hobsonway
Blythe, CA 92225-1739
Phone
(760) 660-4790
Fax
(866) 554-1794
NPI assigned
May 22, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C54634 CA Primary
Internal Medicine Physician 207R00000X 10013 NV
Hospitalist Physician 208M00000X C54634 CA

Addresses

Primary practice location

604 E Hobsonway
Blythe, CA 92225-1739

Mailing address

35280 Bob Hope Dr Ste 100
Rancho Mirage, CA 92270-1753
Phone (760) 660-4790

Other practice location 1

35280 Bob Hope Dr Ste 100
Rancho Mirage, CA 92270-1753
Phone (760) 660-4790

Other practice location 2

375 N Stephanie St Ste 1011
Henderson, NV 89014-8901
Phone (760) 660-4790

Other names 1

  • Srinivas B Vuthoori Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@officiumhealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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
I20041001001035 NV Practitioner - Internal Medicine 9537148713
I20130807000220 CA Practitioner - Internal Medicine 9537148713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Valley HealthGroup PAC ID 6507273711, 4 clinicians

Practice addresses (Care Compare)

195 W Hwy 246
Buellton, CA 93427-9459
Phone (760) 350-2498

35280 Bob Hope Dr
Suite 100
Rancho Mirage, CA 92270-1753

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54634CAMDInternal Medicine Physician
10013NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healthcare Associates, Inc. CurrentSince Nov 22, 2022 Accepting new patients
Caritas Medical Associates Internal Medicine CurrentSince Jan 13, 2026 Accepting new patients
Hope Valley Health Internal Medicine CurrentSince Feb 11, 2021 Accepting new patients
Srinivas Vuthoori, MD, PC Internal Medicine PastSince Apr 1, 2002 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Srinivas B Vuthoori MD, a Professional Corporation, Cambridge Hospital Internal Medicine PastSince Feb 18, 2012 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Mubder Health LLC Internal Medicine Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Odyssey Medical Associates LLLP Internal Medicine PastSince Aug 1, 2006 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Dignity Health Past Accepting new patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Internal Medicine Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Kenneth Grier MD Inc Past Accepting new patients
Vuthoori & Patel LLC Internal Medicine PastSince May 1, 2008 Accepting new patients

Locations

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

195 W Highway 246
Buellton, CA 93427
Phone (805) 686-8555

35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 350-2498

361 Town Ctr E
Ste 101
Santa Maria, CA 93458
Phone (706) 350-2498

13010 Hesperia Rd
Ste 300
Victorville, CA 92395
Phone (760) 843-7873

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAGFDD/Endpoint/EAGFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDIDCD/Endpoint/IDIDCD

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1235183278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35280 BOB HOPE DR STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701753",
            "telephone_number": "760-660-4790",
            "fax_number": "866-554-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251739",
            "telephone_number": "760-660-4790",
            "fax_number": "866-554-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35280 Bob Hope Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922701753",
            "country_code": "US",
            "telephone_number": "760-660-4790",
            "fax_number": "866-554-1794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 N Stephanie St Ste 1011",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890148901",
            "country_code": "US",
            "telephone_number": "760-660-4790",
            "fax_number": "866-554-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUTHOORI",
        "first_name": "SRINIVAS",
        "middle_name": "BHAWANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54634",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10013",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C54634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@officiumhealthcare.com",
            "affiliation": "N",
            "address_1": "604 E Hobsonway",
            "city": "Blythe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922251739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SRINIVAS",
            "last_name": "VUTHOORI",
            "middle_name": "B",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Blythe, CA

Sources for this page

Verify at the official NPI Registry.