Mokshasree Atluri, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Carmichael, CA
NPI 1366947772 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1366947772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 20A20128 (CA)
- Practice address
- 5821 Jameson CT
Carmichael, CA 95608-0820 - Phone
- (916) 486-0411
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chapa-de Indian Health Program, Inc.
Kamras and Polansky Medical Corporation
Practice addresses (Care Compare)
11670 Atwood Rd
Auburn, CA 95603-9522
Phone (530) 887-2800
5821 Jameson CT
Carmichael, CA 95608-0820
5821 Jameson CT
Carmichael, CA 95608-0890
Phone (916) 486-0411
5821 Jameson CT
Carmichael, CA 95608-0899
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221116001620 | CA | Practitioner - Obstetrics/Gynecology | 7113395559 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20128 | CA | MD | Obstetrics & Gynecology Physician |
| 125.073298 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapa-de Indian Health Program, Inc. | Current |
Accepting new patients | |
| Kamras and Polansky Medical Corporation | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800
5821 Jameson Ct
Ste 1
Carmichael, CA 95608
Phone (916) 864-0411
5821 Jameson Ct
Carmichael, CA 95608
Phone (916) 486-0411
1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545
621 Capitol Mall
Ste 950
Sacramento, CA 95814
Phone (916) 486-0411
Interoperability endpoints
- matluri1154854@direct.trinity-health.org
- https://fhir4.healow.com/fhir/r4/AHHIAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125.073298 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 20A20128 | CA | Yes |
Addresses
Primary practice location
5821 Jameson CT
Carmichael, CA 95608-0820
Mailing address
5821 Jameson CT
Carmichael, CA 95608-0820
Phone (916) 486-0411
Other providers in Carmichael, CA
- Associated Rehabilitation Program for Women, Inc
- Associated Rehabilitation Program for Women, Inc.
- Natalie Margaret Astleford
- Diana Lynn Aten
- Atkinson Youth Services, Inc.
- Erin B Audrain
- Augustus Elder Care Home, LLC
- Mya Mon Aung
- Larissa Ann Austin
- Mary M. Avery
All providers in Carmichael, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.