Individual provider Active NPI

Sundeep Adusumalli, M.D.

  • Cardiovascular Disease Physician
  • Carmichael, CA
National Provider Identifier
1639305295
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A141235 Issued in CA
Practice address
6555 Coyle Ave Ste 380
Carmichael, CA 95608-0302
Phone
(916) 864-3704
NPI assigned
Jun 9, 2009
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A141235 CA Primary

Addresses

Primary practice location

6555 Coyle Ave Ste 380
Carmichael, CA 95608-0302

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 379-2726

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
I20170209001687 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9133371388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

6555 Coyle Ave
Suite 380
Carmichael, CA 95608-0302
Phone (916) 536-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141235CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Family Medicine Current Accepting new patients
Chaparral Medical Group Inc CurrentSince Dec 31, 2016 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Dec 31, 2016 Accepting new patients
Dignity Health Medical Foundation CurrentSince Apr 22, 2019 Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Jan 22, 2017 Accepting new patients
Dignity Health Medical Foundation CurrentSince Apr 22, 2019 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

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

6555 Coyle Ave
Ste 380
Carmichael, CA 95608
Phone (916) 536-3600

1561 Creekside Dr
Ste 150
Folsom, CA 95630
Phone (916) 983-2193

150 Catherine Ln
Ste D
Grass Valley, CA 95945
Phone (530) 477-8358

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

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

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

3939 J St
Ste 230
Sacramento, CA 95819
Phone (916) 453-2640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1639305295",
    "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": "916-379-2726",
            "fax_number": "916-853-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE STE 380",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080302",
            "telephone_number": "916-864-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSUMALLI",
        "first_name": "SUNDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A141235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.