Individual provider Active NPI

Anita Sivasubramanian, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1447260328
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74387 Issued in CA
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

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A743870MedicaidCA

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
I20090824000561 CA Practitioner - Internal Medicine 6709930837 Reassigns benefits to 3 organizations

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
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Anita Sivasubramanian M.D., Inc Internal Medicine CurrentSince May 19, 2009 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 CurrentSince Apr 13, 2019 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Dec 29, 2024 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.