Active NPI
Rekha Cheruvattath, MD
- Gastroenterology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A107830
- Practice address
- 8120 Timberlake Way Ste 101
Sacramento, CA 95823-5413 - Phone
- (916) 681-6159
- Fax
- (916) 689-4095
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A107830 | CA | Primary |
Addresses
Primary practice location
8120 Timberlake Way Ste 101
Sacramento, CA 95823-5413
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 861-1486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ80876Z | Medicaid | CA | |
| DJ816Z | Other | CA | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8120 Timberlake Way
Suite 101
Sacramento, CA 95823-5413
Phone (916) 681-6159
Hospital & facility affiliations
- Mercy General Hospital
- Methodist Hospital of Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107830 | CA | MD | Dentist |
| A107830 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Endoscopy Center of South Sacramento, LLC | Past | Accepting new patients |
Locations
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
8120 Timberlake Way
Ste 103
Sacramento, CA 95823
Phone (916) 681-2350
8120 Timberlake Way
Ste 101
Sacramento, CA 95823
Phone (916) 423-2123
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- Ambulatory Surgical Clinic/Center
- Sacramento, CA
- NPI 1487136412
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1891779740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "916-861-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY STE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235413",
"telephone_number": "916-681-6159",
"fax_number": "916-689-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERUVATTATH",
"first_name": "REKHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A107830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ80876Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DJ816Z",
"state": "CA"
}
],
"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 Mar 13, 2020; 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.