NPIMap

Individual provider Active NPI

Shyam Kesavankutty Nair, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Bakersfield, CA
National Provider Identifier
1356304539
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A56115 Issued in CA
Practice address
2007 17TH St
Bakersfield, CA 93301-4203
Phone
(661) 633-1983
Fax
(661) 633-1101
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A56115 CA
Specialist 174400000X A56115 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A56115 CA Primary

Addresses

Primary practice location

2007 17TH St
Bakersfield, CA 93301-4203

Mailing address

PO Box 22230
Bakersfield, CA 93390-2230
Phone (661) 633-1983

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
I20040301001136 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 4486541893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2007 17TH St
Bakersfield, CA 93301-4203
Phone (661) 633-1983

Hospital & facility affiliations

  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Kern Valley Healthcare District Hospital, Lake Isabella, CA, CCN 051314
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

Merit-based Incentive Payment System (MIPS)

Final score
75.55 of 100Reported as individual
Quality
64.71
Promoting interoperability
34
Improvement activities
40
Cost
75.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Cardiology Medical Clinic, Inc. Clinical Cardiac Electrophysiology CurrentSince Dec 30, 2003 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 9, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 9, 2020 Accepting new patients
Centennial Medical Group Inc. Specialist CurrentSince Oct 1, 2020 Accepting new patients
Dignity Health Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1801 16th St
Ste A
Bakersfield, CA 93301
Phone (661) 326-7500

2007 17th St
Bakersfield, CA 93301
Phone (661) 327-1472

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1356304539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22230",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902230",
            "telephone_number": "661-633-1983",
            "fax_number": "661-633-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014203",
            "telephone_number": "661-633-1983",
            "fax_number": "661-633-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "SHYAM",
        "middle_name": "KESAVANKUTTY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A56115",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56115",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A56115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.