Individual provider Active NPI

Shailesh Manohar Asaikar, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Sacramento, CA
National Provider Identifier
1770695181
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A49354 Issued in CA
Practice address
1111 Exposition Blvd
BLDG 700, Ste 102
Sacramento, CA 95815-4314
Phone
(916) 648-9800
Fax
(916) 649-9801
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X A049354 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A49354 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd
BLDG 700, Ste 102
Sacramento, CA 95815-4314

Mailing address

1111 Exposition Blvd
BLDG 700, Ste 102
Sacramento, CA 95815-4314
Phone (916) 648-9800

Other identifiers 1

IdentifierTypeStateIssuer
00A493540MedicaidCA

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
I20101227000217 CA Practitioner - NeurologyPractitioner - Other (Physician) 3173684974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Scripps Dr
Suite 303
Sacramento, CA 95825-6206
Phone (916) 649-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A049354CAMDPediatric Neurodevelopmental Disabilities Physician
A49354CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince May 9, 2013 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince May 9, 2013 Accepting new patients
Shailesh M Asaikar MD Inc Neurodevelopmental Disabilities CurrentSince Jul 18, 2008 Accepting new patients

Locations

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

1 Scripps Dr
Ste 303
Sacramento, CA 95825
Phone (916) 641-2020

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

1111 Exposition Blvd
Bldg 700
Sacramento, CA 95815
Phone (916) 736-3399

100 N Wiget Ln
Ste 150
Walnut Creek, CA 94598
Phone (855) 420-2612

Interoperability endpoints

  • Direct secure messaging: sasaikar24275@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sasaikar15530@enloedirect.org

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 and National Provider Directory roles.

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": "1620777600000",
    "number": "1770695181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BLDG 700, STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-648-9800",
            "fax_number": "916-649-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BLDG 700, STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-648-9800",
            "fax_number": "916-649-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAIKAR",
        "first_name": "SHAILESH",
        "middle_name": "MANOHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "CA",
            "license": "A049354",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A49354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A493540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.