Active NPI
Sreekanth R Ambati, MD
- Hospitalist Physician
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD61174497
- Practice address
- 34515 9TH Ave S
Federal Way, WA 98003-6761 - Phone
- (253) 426-6341
- Fax
- (253) 426-6344
- NPI assigned
- May 24, 2007
- Last updated
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT188471 | PA | |
| Internal Medicine Physician | 207R00000X | MD440951 | PA | |
| Internal Medicine Physician | 207R00000X | MD61174497 | WA | |
| Hospitalist Physician | 208M00000X | MD61174497 | WA | Primary |
Addresses
Primary practice location
34515 9TH Ave S
Federal Way, WA 98003-6761
Mailing address
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 426-6341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2228725 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
| Direct Messaging Address | sambati772100@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT188471 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Mdics at Meritus Medical Center, LLC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| County of San Mateo | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| County of San Mateo | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
Locations (25 of 33)
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
2500 Merced St
San Leandro, CA 94577
Phone (510) 454-1000
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
Interoperability endpoints
- sreekanth.ambati@oconeeregional.gadirect.net
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Hospitalist Physician
- Frederick, MD
- NPI 1992945471
DC, Internal Medicine
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
DC
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Hospitalist Physician
- Hagerstown, MD
- NPI 1306258645
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1366240111
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Foundation Hospital - Fremont
- General Acute Care Hospital
- Fremont, CA
- NPI 1801960513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1750592887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34515 9TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036761",
"telephone_number": "253-426-6341",
"fax_number": "253-426-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34515 9TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036761",
"telephone_number": "253-426-6341",
"fax_number": "253-426-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBATI",
"first_name": "SREEKANTH",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT188471",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD440951",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61174497",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD61174497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2228725",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2500 Merced St",
"city": "San Leandro",
"state": "CA",
"country_code": "US",
"postal_code": "945774201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sambati772100@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "34515 9th Ave S",
"city": "Federal Way",
"state": "WA",
"country_code": "US",
"postal_code": "980036761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.