Individual provider Active NPI

Venkata Chandrasekhara Pramo Chavali, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1679101596
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191750 Issued in CA
Practice address
900 Hyde St
San Francisco, CA 94109-4806
Phone
(415) 353-6000
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191750 CA Primary

Addresses

Primary practice location

900 Hyde St
San Francisco, CA 94109-4806

Mailing address

500 W Fort St
Boise, ID 83702-4501

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003366 CA Practitioner - Hospitalist 4183055486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Washington School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity Hospitalists PCGroup PAC ID 2567714090, 78 clinicians

Practice addresses (Care Compare)

900 Hyde St
San Francisco, CA 94109-4806
Phone (415) 353-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191750CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 10, 2023 Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 10, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

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

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

Organizations & group practices 3

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 1

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1679101596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "415-353-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVALI",
        "first_name": "VENKATA",
        "middle_name": "CHANDRASEKHARA PRAMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "191750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.