Active NPI
Anita Sivasubramanian, M.D.
- Internal Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A74387
- Practice address
- 7215 N Fresno St
Suite 102
Fresno, CA 93720-2969 - Phone
- (559) 446-0409
- Fax
- (559) 446-0903
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A74387 | CA | Primary |
Addresses
Primary practice location
7215 N Fresno St
Suite 102
Fresno, CA 93720-2969
Mailing address
7489 N 1St St
Ste 103
Fresno, CA 93720-2848
Phone (559) 446-0409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A743870 | Medicaid | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000
7035 N Chestnut Ave
Suite 105
Fresno, CA 93720-0352
Phone (559) 353-2300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.57 of 100
- Quality
- 63.43
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anita Sivasubramanian M.D., Inc | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| LQMG Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Agnes Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Fresno Medical Center Inc | Internal Medicine | Past | Accepting new patients |
| 1Lab Inc. | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Saint Agnes Medical Center | Past | Accepting new patients |
Locations
7489 N 1st St
Ste 103
Fresno, CA 93720
Phone (559) 353-2300
7035 N Chestnut Ave
Ste 105
Fresno, CA 93720
Phone (559) 323-4637
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1679701262
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Hospitalist Physician
- Marysville, CA
- NPI 1558023911
Internal Medicine
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1992631261
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485043200000",
"number": "1447260328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7489 N 1ST ST",
"address_2": "STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202848",
"telephone_number": "559-446-0409",
"fax_number": "559-446-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 N FRESNO ST",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202969",
"telephone_number": "559-446-0409",
"fax_number": "559-446-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVASUBRAMANIAN",
"first_name": "ANITA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2017-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A74387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A743870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.