Individual provider Active NPI

Sivakumar Reddy Munnangi, M.D.

  • Gastroenterology Physician
  • Merced, CA
National Provider Identifier
1447432463
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A052645 Issued in CA
Practice address
386 W Olive Ave
Suite a
Merced, CA 95348-3137
Phone
(209) 724-9900
Fax
(209) 724-9901
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A052645 CA Primary

Addresses

Primary practice location

386 W Olive Ave
Suite a
Merced, CA 95348-3137

Mailing address

386 W Olive Ave Ste a
Merced, CA 95348-3137
Phone (209) 724-9900

Other identifiers 1

IdentifierTypeStateIssuer
00A526450MedicaidCA

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
I20060104000382 CA Practitioner - Gastroenterology 7113837626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

386 W Olive Ave
Suite a
Merced, CA 95348-3137
Phone (209) 724-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy617
Upper gastrointestinal (GI) endoscopy for acid reflux579

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A052645CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District Past Accepting new patients
Ector County Hospital District Past Accepting new patients
Dignity Health PastSince Nov 26, 2024 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1447432463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 W OLIVE AVE STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483137",
            "telephone_number": "209-724-9900",
            "fax_number": "209-724-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W OLIVE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483137",
            "telephone_number": "209-724-9900",
            "fax_number": "209-724-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNNANGI",
        "first_name": "SIVAKUMAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A052645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A526450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.