Kristappa Sangavaram, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA05589800 Issued in NJ

Practice address

303 Molnar Drive
1St Floor
Elmwood Park, NJ 07407

Phone

(201) 796-4007

Fax

(201) 796-4080

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Renaissance Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Saddle Brook, NJ
  • NPI 1962755561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1376635722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MOLNAR DRIVE",
            "address_2": "1ST FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-796-4007",
            "fax_number": "201-796-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MOLNAR DRIVE",
            "address_2": "1ST FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-796-4007",
            "fax_number": "201-796-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGAVARAM",
        "first_name": "KRISTAPPA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05589800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Rodriguez
• Rosario Care LLC
• Hebah Najeh Salamah
• Nada K Samo, LPC, NCC
• Alejandra Sanchez, DMD
• Sawp LLC
• Kenneth Steven Schwartz, D.D.S.
• Pritee Shah, PT
• Kyung H Shin, MD
• Shining Minds LLC

• Anesthesiology Physician in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.