Individual provider Active NPI

Kiran Nimmagadda, MD, PHD

  • Anesthesiology Physician
  • West Hollywood, CA
National Provider Identifier
1295397925
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A181272 Issued in CA
Practice address
8700 Beverly Blvd RM 4209
West Hollywood, CA 90048-1804
Phone
(310) 423-1682
NPI assigned
Jul 2, 2019
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X PENDING CA
Anesthesiology Physician 207L00000X A181272 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd RM 4209
West Hollywood, CA 90048-1804

Mailing address

3335 Dorchester Ave
Los Angeles, CA 90032-2907
Phone (661) 713-0265

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kiran.Nimmagadda@cshs.org

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
I20230724003191 CA Practitioner - Anesthesiology 8224498183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Southern California Keck School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 440-9161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181272CAMDAnesthesiology Physician
PENDINGCAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 15, 2023 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Sep 11, 2023 Accepting new patients

Locations

15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8700 Beverly Blvd
Rm 4209
West Hollywood, CA 90048
Phone (310) 402-8597

Interoperability endpoints

  • Direct secure messaging: kiran.nimmagadda@cshs.org

Organizations & group practices 3

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.

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1295397925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 DORCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322907",
            "telephone_number": "661-713-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD RM 4209",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A181272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kiran.Nimmagadda@cshs.org",
            "affiliation": "N",
            "address_1": "8700 Beverly Blvd Rm 4209",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900481804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.