NPIMap

Individual provider Active NPI

Satya Naga S S Mantripragada, M.D.

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1851529671
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C153675 Issued in CA
Practice address
650 Howe Ave Ste 100
Sacramento, CA 95825-4732
Phone
(916) 924-9337
Fax
(916) 924-8281
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012-01343 NC
Pediatrics Physician 208000000X C153675 CA Primary

Addresses

Primary practice location

650 Howe Ave Ste 100
Sacramento, CA 95825-4732

Mailing address

650 Howe Ave Ste 100
Sacramento, CA 95825-4732
Phone (916) 924-9337

Other identifiers 15

IdentifierTypeStateIssuer
4015446OtherNCCOVENTRY NATIONAL - COVENTRY PPO
13047605OtherNCPHCS-MULTIPLAN
1355744OtherNCCOVENTRY OF THE CAROLINAS
1851529671OtherNCHEALTHNET FEDERAL SERVICES
1851529671OtherNCHEALTHSMART
3500399OtherNCUNITED HEALTHCARE
1851529671OtherNCHUMANA
3365945OtherNCCIGNA GREATWEST
1851529671MedicaidNC
254156OtherNCMEDCOST, LLC
9829880OtherNCAETNA
FH1101545OtherNCFIRST CAROLINA CARE
174GTOtherNCBCBS OF NC
1851529671OtherNCDOCTORS DIRECT
1355744OtherNCWELLPATH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C153675CAMDPediatrics Physician
2012-01343NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Pediatric Medical Associates of Sacramento Inc Pediatrics Past Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smantripragada395675@hisp.ehr.sutterhealth.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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1851529671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254732",
            "telephone_number": "916-924-9337",
            "fax_number": "916-924-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254732",
            "telephone_number": "916-924-9337",
            "fax_number": "916-924-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTRIPRAGADA",
        "first_name": "SATYA NAGA",
        "middle_name": "S S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-01343",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C153675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY NATIONAL - COVENTRY PPO",
            "identifier": "4015446",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS-MULTIPLAN",
            "identifier": "13047605",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY OF THE CAROLINAS",
            "identifier": "1355744",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SERVICES",
            "identifier": "1851529671",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSMART",
            "identifier": "1851529671",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3500399",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1851529671",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GREATWEST",
            "identifier": "3365945",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851529671",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST, LLC",
            "identifier": "254156",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9829880",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH1101545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "174GT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS DIRECT",
            "identifier": "1851529671",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "1355744",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.