Individual provider Active NPI

B V Chandramouli, MD

  • Cardiovascular Disease Physician
  • Redding, CA
National Provider Identifier
1871607796
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00A521990 Issued in CA
Practice address
1555 East St
Ste 100
Redding, CA 96001
Phone
(530) 244-4477
Fax
(530) 244-1407
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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 00A521990 CA Primary

Addresses

Primary practice location

1555 East St
Ste 100
Redding, CA 96001

Mailing address

1555 East St
Ste 100
Redding, CA 96001
Phone (530) 244-4477

Other identifiers 2

IdentifierTypeStateIssuer
00A521990MedicaidCA
060070712OtherCARAILROAD

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
I20040709001323 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2668450263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1555 E St
Suite 100
Redding, CA 96001-1153
Phone (530) 244-4471

Hospital & facility affiliations

  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

Merit-based Incentive Payment System (MIPS)

Final score
94.16 of 100Reported as individual
Quality
94.08
Promoting interoperability
97
Improvement activities
40
Cost
86.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting73
Pacemaker insertion or repair67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A521990CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Center, LLC Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1871607796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 EAST ST",
            "address_2": "STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-244-4477",
            "fax_number": "530-244-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 EAST ST",
            "address_2": "STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-244-4477",
            "fax_number": "530-244-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAMOULI",
        "first_name": "B",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "00A521990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A521990",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060070712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.