Individual provider Active NPI

Manasa Kalluri

  • Hospitalist Physician
  • Alameda, CA
National Provider Identifier
1689167330
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A173788 Issued in CA
Practice address
2000 Central Ave
Apt G
Alameda, CA 94501
Phone
(661) 326-2202
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A173788 CA Primary

Addresses

Primary practice location

2000 Central Ave
Apt G
Alameda, CA 94501

Mailing address

2070 Clinton Ave
Alameda Inpatient Medical
Alameda, CA 94501

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
I20210429001699 CA Practitioner - Internal Medicine 9133538374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of California IncGroup PAC ID 8426062027, 120 clinicians
Alameda Inpatient Medical IncGroup PAC ID 5496757577, 22 clinicians

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 814-4397

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173788CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Hospitalist CurrentSince Aug 1, 2022 Accepting new patients
Alameda Inpatient Medical Inc CurrentSince Sep 2, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Apr 1, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Apr 1, 2021 Accepting new patients
Inpatient Specialists of California, PC Hospitalist CurrentSince Aug 1, 2022 Accepting new patients

Locations

909 Marina Village Pkwy
Alameda, CA 94501
Phone (207) 423-5576

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Interoperability endpoints

  • Direct secure messaging: mkalluri80524@alamedahs.direct-ci.com

Organizations & group practices 5

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 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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1689167330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "address_2": "ALAMEDA INPATIENT MEDICAL",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CENTRAL AVE",
            "address_2": "APT G",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "661-326-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLURI",
        "first_name": "MANASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A173788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.