Individual provider Active NPI

Satish Kesavaramanujam, M.D.

  • Surgery Physician
  • Visalia, CA
National Provider Identifier
1609969005
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A96658 Issued in CA
Practice address
107 N Hall St
Suite B
Visalia, CA 93291-5850
Phone
(559) 730-2000
Fax
(559) 730-2000
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A96658 CA Primary

Addresses

Primary practice location

107 N Hall St
Suite B
Visalia, CA 93291-5850

Mailing address

107 N Hall St
Suite B
Visalia, CA 93291-5850
Phone (559) 730-2000

Other identifiers 1

IdentifierTypeStateIssuer
00A966580MedicaidCA

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
I20061026000675 CA Practitioner - General SurgeryPractitioner - Thoracic Surgery 2860499241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Iq Surgical Associates IncGroup PAC ID 5092030809, 5 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

107 N Hall St
Suite a
Visalia, CA 93291-5850
Phone (559) 302-5600

202 W Willow Ave
Suite 402
Visalia, CA 93291-6238

Hospital & facility affiliations

  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.17 of 100Reported as group
Quality
70.95
Promoting interoperability
82
Improvement activities
40
Cost
57.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)31
Hernia repair (minimally invasive)14
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96658CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince May 1, 2015 Accepting new patients
Adventist Health Physicians Network Surgery CurrentSince May 1, 2015 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Iq Surgical Associates Inc Surgery CurrentSince Nov 22, 2014 Accepting new patients
Reedley Community Hospital Past Accepting new patients
Adventist Health Tulare Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

125 Mall Dr
Hanford, CA 93230
Phone (559) 584-2695

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

125 Mall Dr
Ste 213
Hanford, CA 93230
Phone (541) 408-2925

1142 Rose Ave
Ste C
Selma, CA 93662
Phone (559) 856-6165

951 E Merritt Ave
Tulare, CA 93274
Phone (559) 537-0348

5533 W Hillsdale Ave
Ste C
Visalia, CA 93291
Phone (559) 622-8500

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

202 W Willow Ave
Ste 402
Visalia, CA 93291
Phone (559) 302-5600

220 S Akers St
Ste C
Visalia, CA 93291
Phone (559) 636-8600

107 N Hall St
Ste 402
Visalia, CA 93291

107 N Hall St
Ste B
Visalia, CA 93291
Phone (310) 556-0335

Interoperability endpoints

  • Direct secure messaging: satish.kesavaramanujam.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEFICA

Organizations & group practices 8

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 4

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1609969005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N HALL ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915850",
            "telephone_number": "559-730-2000",
            "fax_number": "559-730-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N HALL ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915850",
            "telephone_number": "559-730-2000",
            "fax_number": "559-730-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESAVARAMANUJAM",
        "first_name": "SATISH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A96658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A966580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.