NPIMap

Individual provider Active NPI

Rao Sunkavally, M.D.

  • Urology Physician
  • Fremont, CA
National Provider Identifier
1760652184
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A39536 Issued in CA
Practice address
1999 Mowry Ave
Suite 2-D
Fremont, CA 94538-1738
Phone
(510) 790-9025
Fax
(510) 790-9080
NPI assigned
Mar 3, 2008
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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 A39536 CA Primary

Addresses

Primary practice location

1999 Mowry Ave
Suite 2-D
Fremont, CA 94538-1738

Mailing address

1999 Mowry Ave
Suite 2-D
Fremont, CA 94538-1738
Phone (510) 790-9025

Other identifiers 1

IdentifierTypeStateIssuer
00A395360MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000700 CA Practitioner - Urology 0042352080 Practice locations: Fremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1999 Mowry Ave
2D
Fremont, CA 94538-1706
Phone (510) 790-9025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.23
Improvement activities
40
Cost
92.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39536CAMDGeneral Practice Dentistry
A39536CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Rao V Sunkavally MD Urology PastSince Jan 1, 1990 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rao.sunkavally@rvm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGBA/Endpoint/CGDGBA

Organizations & group practices 4

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 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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1760652184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "address_2": "SUITE 2-D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-790-9025",
            "fax_number": "510-790-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "address_2": "SUITE 2-D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-790-9025",
            "fax_number": "510-790-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNKAVALLY",
        "first_name": "RAO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A39536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A395360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.