NPIMap

Individual provider Active NPI

Syam Prasad Vunnamadala, MD

  • Specialist
  • Anaheim, CA
National Provider Identifier
1508978909
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A641890 Issued in CA
Practice address
1211 W la Palma Ave Ste 310
Anaheim, CA 92801-2811
Phone
(714) 491-3928
Fax
(714) 491-3960
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00A641890 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 310
Anaheim, CA 92801-2811

Mailing address

10 Via Giada
Newport Coast, CA 92657-1623
Phone (714) 491-3928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000585 CA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 1951427426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 310
Anaheim, CA 92801-2811

Hospital & facility affiliations

  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Anaheim Global Medical Center Hospital, Anaheim, CA, CCN 050744
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Kindred Hospital Westminster Long-term care hospital, Westminster, CA, CCN 052035

Merit-based Incentive Payment System (MIPS)

Final score
23.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)27
Pacemaker insertion or repair1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A641890CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Syam P Vunnamadala Medical Corp Specialist CurrentSince Apr 30, 2017 Accepting new patients
Syam Vunnamadala, M.D., Inc Specialist CurrentSince Feb 19, 2003 Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 310
Anaheim, CA 92801
Phone (714) 491-3928

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1508978909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VIA GIADA",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571623",
            "telephone_number": "714-491-3928",
            "fax_number": "714-491-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 310",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012811",
            "telephone_number": "714-491-3928",
            "fax_number": "714-491-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUNNAMADALA",
        "first_name": "SYAM",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A641890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.