Individual provider Active NPI

Venkat Ram Peddi, MD

  • Nephrology Physician
  • San Francisco, CA
National Provider Identifier
1417974247
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C51237 Issued in CA
Practice address
2340 Clay St
4TH Floor
San Francisco, CA 94115-1932
Phone
(415) 600-1063
Fax
(415) 600-1065
NPI assigned
Jul 16, 2006
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X C51237 CA Primary

Addresses

Primary practice location

2340 Clay St
4TH Floor
San Francisco, CA 94115-1932

Mailing address

PO Box 254947
Sacramento, CA 95865-4947
Phone (916) 854-6975

Other identifiers 3

IdentifierTypeStateIssuer
CG873ZOtherCAMEDICARE PIN (LOCALITY 9)
P00814837OtherCAMEDICARE RAILROAD
CG873WOtherCAMEDICARE PIN (LOCALITY 99 SOUTHERN CA)

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
I20040122001189 CA Practitioner - Internal MedicinePractitioner - Nephrology 5193620490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

1189 E Herndon Ave
Suite 103
Fresno, CA 93720-3167
Phone (916) 732-4380

151 N Sunrise Ave
Suite 1205
Roseville, CA 95661-2932
Phone (415) 600-1010

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

3838 California St
San Francisco, CA 94118-1506

600 Coffee Rd
Modesto, CA 95355-4201
Phone (916) 732-4380

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
University Internal Medicine Associates, Inc. Nephrology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

2222 East St
Ste 305
Concord, CA 94520
Phone (925) 686-0315

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

1401 Spanos Ct
Ste 125
Modesto, CA 95355
Phone (209) 525-3113

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

3300 Webster St
Ste 202
Oakland, CA 94609
Phone (510) 208-1777

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

2701 Old Eureka Way
Ste 1E
Redding, CA 96001
Phone (530) 232-3000

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110

1100 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-3397

2340 Clay St
Fl 2
San Francisco, CA 94115
Phone (415) 600-3458

2340 Clay St
Fl 4
San Francisco, CA 94115
Phone (415) 600-1062

2340 Clay St
Ste 2
San Francisco, CA 94115

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

3880 S Bascom Ave
Ste 113
San Jose, CA 95124
Phone (408) 832-5495

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

Interoperability endpoints

  • Direct secure messaging: vpeddi42344@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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 6

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1417974247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254947",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958654947",
            "telephone_number": "916-854-6975",
            "fax_number": "916-854-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST",
            "address_2": "4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "415-600-1063",
            "fax_number": "415-600-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDDI",
        "first_name": "VENKAT",
        "middle_name": "RAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C51237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN (LOCALITY 9)",
            "identifier": "CG873Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00814837",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN (LOCALITY 99 SOUTHERN CA)",
            "identifier": "CG873W",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.