Individual provider Active NPI

Sriram Venkata Eleswarapu, M.D., PH.D.

  • Urology Physician
  • Burbank, CA
National Provider Identifier
1699015388
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A155388 Issued in CA
Practice address
2625 W Alameda Ave Ste 310
Burbank, CA 91505-4819
Phone
(310) 794-7700
Fax
(818) 260-8718
NPI assigned
Feb 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A155388 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave Ste 310
Burbank, CA 91505-4819

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

25775 McBean Pkwy Ste 202
Valencia, CA 91355-3703
Phone (310) 794-7700

Other practice location 2

1260 15th St Ste 1200
Santa Monica, CA 90404-1147
Phone (424) 259-7909

Other practice location 3

200 Ucla Medical Plz Ste 140
Los Angeles, CA 90095-8344
Phone (310) 206-8164

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
I20180717001169 CA Practitioner - Urology 5890927057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 7416259197, 10 clinicians
The Regents of the University of CaliforniaGroup PAC ID 3678545431, 47 clinicians

Practice addresses (Care Compare)

1260 15TH St
Suite 1200
Santa Monica, CA 90404-1147
Phone (310) 451-8751

200 UCLA Medical PLZ
Suite 140
Los Angeles, CA 90095-3075
Phone (310) 825-5986

2901 Wilshire Blvd
Suite 400
Santa Monica, CA 90403-4901
Phone (310) 794-7700

Hospital & facility affiliations

  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

Merit-based Incentive Payment System (MIPS)

Final score
89.3 of 100Reported as group
Quality
80.56
Promoting interoperability
100
Improvement activities
40
Cost
73.78

Merit-based Incentive Payment System (MIPS)

Final score
63.81 of 100Reported as group
Quality
69.35
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155388CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Urology CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of California Urology CurrentSince Jul 1, 2018 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
UCLA Urology Associates Urology Past Accepting new patients
Regents of the Unviersity of California Past Accepting new patients
UCLA Medical Group Urology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2625 W Alameda Ave
Ste 310
Burbank, CA 91505
Phone (818) 972-9142

200 Medical Plz
Ste 140
Los Angeles, CA 90095
Phone (310) 206-1434

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

200 UCLA Medical Plz
Ste 140
Los Angeles, CA 90095
Phone (310) 206-8164

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751

25775 McBean Pkwy
Ste 202
Valencia, CA 91355
Phone (661) 753-5464

Interoperability endpoints

  • Direct secure messaging: seleswarapu624398@direct.uclahealth.org

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 3

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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1699015388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054819",
            "telephone_number": "310-794-7700",
            "fax_number": "818-260-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25775 McBean Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913553703",
            "country_code": "US",
            "telephone_number": "310-794-7700",
            "fax_number": "661-288-0025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 15th St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041147",
            "country_code": "US",
            "telephone_number": "424-259-7909",
            "fax_number": "424-259-7943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Ucla Medical Plz Ste 140",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958344",
            "country_code": "US",
            "telephone_number": "310-206-8164",
            "fax_number": "310-206-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELESWARAPU",
        "first_name": "SRIRAM",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A155388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.