Individual provider Active NPI

Jyothi Adsumilli, M.D.,

  • Hospitalist Physician
  • Redwood City, CA
National Provider Identifier
1245508159
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A143924 Issued in CA
Practice address
170 Alameda de Las Pulgas
Redwood City, CA 94062-2799
Phone
(650) 367-5659
Fax
(650) 482-6163
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A143924 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A143924 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036.132503 IL
Hospitalist Physician 208M00000X A143924 CA Primary

Addresses

Primary practice location

170 Alameda de Las Pulgas
Redwood City, CA 94062-2799

Mailing address

2100 Powell St Ste 900
Emeryville, CA 94608-1844

Other practice location 1

5000 S 5th Ave
Hines, IL 60141-3030
Phone (708) 202-2584

Other practice location 2

450 Stanyan St
San Francisco, CA 94117-1019
Phone (708) 202-2584

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
I20180502001222 CA Practitioner - HospitalistPractitioner - Internal Medicine 9739301896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity Hospitalists PCGroup PAC ID 2567714090, 78 clinicians

Practice addresses (Care Compare)

170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 369-5811

Hospital & facility affiliations

  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143924CAMDGeriatric Medicine (Internal Medicine) Physician
036.132503ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jul 16, 2021 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Mar 24, 2018 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jul 16, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Mar 24, 2018 Accepting new patients
Cep America - California Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Sequoia Health Services Past Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 358-5633

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 9

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 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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1245508159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ALAMEDA DE LAS PULGAS",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622799",
            "telephone_number": "650-367-5659",
            "fax_number": "650-482-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Hines",
            "state": "IL",
            "postal_code": "601413030",
            "country_code": "US",
            "telephone_number": "708-202-2584",
            "fax_number": "708-202-2163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Stanyan St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171019",
            "country_code": "US",
            "telephone_number": "708-202-2584",
            "fax_number": "708-202-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADSUMILLI",
        "first_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A143924",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A143924",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036.132503",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A143924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.