NPIMap

Individual provider Active NPI

Sravya Dasyam

  • Hospitalist Physician
  • Tracy, CA
National Provider Identifier
1588070056
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A148113 Issued in CA
Practice address
445 W Eaton Ave
Tracy, CA 95376-3420
Phone
(209) 833-2367
Fax
(602) 294-5090
NPI assigned
Jul 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A148113 CA
Student in an Organized Health Care Education/Training Program 390200000X AZ
Hospitalist Physician 208M00000X A148113 CA Primary

Addresses

Primary practice location

445 W Eaton Ave
Tracy, CA 95376-3420

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

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
I20171012002908 CA Practitioner - HospitalistPractitioner - Internal Medicine 6800161191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148113CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group, a Professional Corp. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Mar 1, 2018 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Sep 4, 2017 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 22, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 4, 2017 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Feb 22, 2021 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sonora Community Hospital Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients

Locations

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1359 Pine St
#1112
San Francisco, CA 94109
Phone (415) 673-8405

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

445 W Eaton Ave
Tracy, CA 95376
Phone (209) 830-4062

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: sdasyam567499@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1588070056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763420",
            "telephone_number": "209-833-2367",
            "fax_number": "602-294-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASYAM",
        "first_name": "SRAVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A148113",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A148113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.