Individual provider Active NPI

Rajiv Nagesetty, MD

  • Vascular Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1689786840
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A78168 Issued in CA
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 932-6330
Fax
(925) 932-0139
NPI assigned
Aug 31, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A78168 CA
Vascular Surgery Physician 2086S0129X A78168 CA Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 932-6330

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
I20031107000696 CA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 3577476324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery, Peripheral Vascular Disease
Education
University of Chicago, Pritzker School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2350 Country Hills Dr
Antioch, CA 94509-7436

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3443 Villa LN
Suite 5
Napa, CA 94558-6417
Phone (707) 287-2513

350 30TH St
Suite 210
Oakland, CA 94609-3425
Phone (510) 832-6131

365 Lennon LN
Walnut Creek, CA 94598-5915

6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal262
Leg revascularization (restoring blood flow)214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 1, 2007 Accepting new patients
John Muir Trauma Physicians Billing Service Multi-Specialty Current Accepting new patients
Bass Medical Group Multi-Specialty Current Accepting new patients
Shadelands Endovascular, LLC CurrentSince Jan 19, 2017 Accepting new patients
Bass Medical Group Multi-Specialty CurrentSince Jan 1, 2007 Accepting new patients
John Muir Trauma Physicians Billing Service Multi-Specialty CurrentSince Nov 8, 2009 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Bass Medical Group Specialist Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Muir Surgical Medical Group Inc Multi-Specialty Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982

350 John Muir Pkwy
Ste 105B
Brentwood, CA 94513
Phone (925) 240-2841

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 433-8786

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

460 N Wiget Ln
#B
Walnut Creek, CA 94598
Phone (925) 378-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: rnagesetty18005@ehr.johnmuirhealth.com

Organizations & group practices 19

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.

View all 19

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1689786840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGESETTY",
        "first_name": "RAJIV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A78168",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A78168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.