Individual provider Active NPI

Saradha Obla Mahesh, M.D

  • Hospitalist Physician
  • Sacramento, CA
National Provider Identifier
1558598706
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A118978 Issued in CA
Practice address
8120 Timberlake Way Ste 107
Sacramento, CA 95823-5413
Phone
(916) 681-6000
Fax
(916) 681-6188
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A118978 CA Primary

Addresses

Primary practice location

8120 Timberlake Way Ste 107
Sacramento, CA 95823-5413

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 861-1486

Other practice location 1

7500 Hospital Drive
Sacramento, CA 95823-0000
Phone (916) 681-1860

Other identifiers 1

IdentifierTypeStateIssuer
A118978OtherCAMEDICAL STATE LICENSE

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
I20120912000671 CA Practitioner - Internal Medicine 8426206699

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118978CAMDMarriage & Family Therapist
A118978CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 1, 2012 Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 1, 2012 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6555 Coyle Ave
Ste 280
Carmichael, CA 95608
Phone (916) 536-3540

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3000 Q St
Fl 3
Sacramento, CA 95816
Phone (916) 733-3400

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3301 C St
Ste 550
Sacramento, CA 95816
Phone (916) 556-3200

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

8120 Timberlake Way
Ste 107
Sacramento, CA 95823
Phone (916) 681-6000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1558598706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-861-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235413",
            "telephone_number": "916-681-6000",
            "fax_number": "916-681-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958230000",
            "country_code": "US",
            "telephone_number": "916-681-1860",
            "fax_number": "916-681-1866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHESH",
        "first_name": "SARADHA",
        "middle_name": "OBLA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A118978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "A118978",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.