Individual provider Active NPI

Sudha Prathikanti, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1245297084
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G74510 Issued in CA
Practice address
1701 Divisadero St
San Francisco, CA 94143-0001
Phone
(415) 353-7796
Fax
(415) 353-7711
NPI assigned
Apr 26, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G74510 CA Primary

Addresses

Primary practice location

1701 Divisadero St
San Francisco, CA 94143-0001

Mailing address

1635 Divisadero St
Ste 625, Box 1821
San Francisco, CA 94143-0001

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
I20040930000742 CA Practitioner - Psychiatry 2264401710 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74510CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Psychiatry Current Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
University of California, San Francisco CurrentSince Sep 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Sep 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2018 Accepting new patients
City and County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
City & County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

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

1545 Divisadero St
Rm 421
San Francisco, CA 94143

1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

1701 Divisadero St
Ste 150
San Francisco, CA 94115
Phone (415) 353-7785

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2501 Ocean Ave
San Francisco, CA 94132
Phone (415) 585-2748

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

Interoperability endpoints

  • Direct secure messaging: sprathikanti106785@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1245297084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST",
            "address_2": "STE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-353-7796",
            "fax_number": "415-353-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHIKANTI",
        "first_name": "SUDHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G74510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.