Individual provider Active NPI

Sreekanth Ganapavarapu, MD

  • Hospitalist Physician
  • Apple Valley, CA
National Provider Identifier
1336107648
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A82967 Issued in CA
Practice address
18564 US Highway 18
Suite 105
Apple Valley, CA 92307-2312
Phone
(760) 242-7777
Fax
(760) 242-0487
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A82967 CA Primary

Addresses

Primary practice location

18564 US Highway 18
Suite 105
Apple Valley, CA 92307-2312

Mailing address

18144 Outer Hwy 18
Ste 200
Apple Valley, CA 92307-2212
Phone (760) 242-7777

Other identifiers 1

IdentifierTypeStateIssuer
00A829670MedicaidCA

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
I20040218000199 CA Practitioner - Internal Medicine 3476448572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healthcare Associates, Inc. CurrentSince Dec 29, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Hospitalist CurrentSince Dec 6, 2022 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Dec 6, 2022 Accepting new patients
Hospitalist Medicine Physicians of Los Angeles County Inc Past Accepting new patients
Orohealth Corporation a Non Profit Healthcare System PastSince Feb 25, 2012 Accepting new patients

Locations

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

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

18564 US Highway 18
Ste 105
Apple Valley, CA 92307

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Interoperability endpoints

  • Direct secure messaging: sreekanth.ganapavarapu.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 6

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 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1336107648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18144 OUTER HWY 18",
            "address_2": "STE 200",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072212",
            "telephone_number": "760-242-7777",
            "fax_number": "760-242-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US HIGHWAY 18",
            "address_2": "SUITE 105",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072312",
            "telephone_number": "760-242-7777",
            "fax_number": "760-242-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAPAVARAPU",
        "first_name": "SREEKANTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A82967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A829670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.