NPIMap

Individual provider Active NPI

Devanshu V. Kansara, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1316940109
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
46368 Issued in MN
Practice address
7485 Mission Valley Rd Ste 104a
San Diego, CA 92108-4422
Phone
(619) 291-8930
Fax
(619) 291-8491
NPI assigned
May 24, 2005
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 46368 MN
Orthopaedic Surgery Physician 207X00000X 46368 MN Primary

Addresses

Primary practice location

7485 Mission Valley Rd Ste 104a
San Diego, CA 92108-4422

Mailing address

7485 Mission Valley Rd Ste 104a
San Diego, CA 92108-4422
Phone (619) 291-8930

Other practice location 1

1001 Hart Blvd Ste 100
Monticello Clinic
Monticello, MN 55362-8929
Phone (763) 295-2921

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkansara87146@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004000429 CA Practitioner - Orthopedic Surgery 3375510928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7485 Mission Valley Rd
Suite 104a
San Diego, CA 92108-4422
Phone (619) 291-8930

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
California Orthopaedic Institute Medical Associates, Inc Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 1, 2022 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Park Nicollet Clinic Past Accepting new patients
Scripps Health Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Therapy Partners Inc Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dkansara87146@excellian.direct.allina.com

Organizations & group practices 7

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 5

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1316940109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD STE 104A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-291-8930",
            "fax_number": "619-291-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD STE 104A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-291-8930",
            "fax_number": "619-291-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Hart Blvd Ste 100",
            "address_2": "Monticello Clinic",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MN",
            "postal_code": "553628929",
            "country_code": "US",
            "telephone_number": "763-295-2921",
            "fax_number": "763-271-3807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANSARA",
        "first_name": "DEVANSHU",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "46368",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "46368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkansara87146@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "8100 W 78th St Ste 230",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554392570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.