Individual provider Active NPI

Sunita Radhakrishnan, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1578513248
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A101235 Issued in CA
Practice address
55 Stevenson St
San Francisco, CA 94105-2936
Phone
(415) 981-2020
NPI assigned
May 11, 2006
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D64161 MD
Ophthalmology Physician 207W00000X A101235 CA Primary

Addresses

Primary practice location

55 Stevenson St
San Francisco, CA 94105-2936

Mailing address

55 Stevenson St
San Francisco, CA 94105-2936
Phone (415) 981-2020

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
I20080516000337 CA Practitioner - Ophthalmology 5193721827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew G Iwach MD a Professional CorporationGroup PAC ID 4385617349, 3 clinicians

Practice addresses (Care Compare)

55 Stevenson St
San Francisco, CA 94105-2936
Phone (415) 981-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101235CAMDMarriage & Family Therapist
A101235CAMDOphthalmology Physician
D64161MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew G. Iwach MD a Professional Corporation Ophthalmology CurrentSince Sep 17, 2007 Accepting new patients

Locations

55 Stevenson St
San Francisco, CA 94105
Phone (415) 981-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1578513248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STEVENSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052936",
            "telephone_number": "415-981-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 STEVENSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052936",
            "telephone_number": "415-981-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "SUNITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D64161",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A101235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.