Individual provider Active NPI

Sunil Rangappa, MD

  • Cardiovascular Disease Physician
  • Granada Hills, CA
National Provider Identifier
1730392887
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A93249 Issued in CA
Practice address
10515 Balboa Blvd Ste 375
Granada Hills, CA 91344-6369
Phone
(818) 305-5671
Fax
(818) 305-5672
NPI assigned
May 7, 2007
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 A93249 CA Primary

Addresses

Primary practice location

10515 Balboa Blvd Ste 375
Granada Hills, CA 91344-6369

Mailing address

PO Box 5104
Beverly Hills, CA 90209-5104
Phone (818) 305-5671

Other identifiers 1

IdentifierTypeStateIssuer
1730392887MedicaidCA

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
I20100803001035 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486787090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10605 Balboa Blvd
Suite 210
Granada Hills, CA 91344-6345
Phone (818) 305-5671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deanco Healthcare LLC. Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Cardiology Specialists Medical Group, Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1730392887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095104",
            "telephone_number": "818-305-5671",
            "fax_number": "818-305-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 375",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446369",
            "telephone_number": "818-305-5671",
            "fax_number": "818-305-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGAPPA",
        "first_name": "SUNIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A93249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730392887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.