Individual provider Active NPI

Karthikeyan Sitaraman, M.D

  • Internal Medicine Physician
  • Kentfield, CA
National Provider Identifier
1902055320
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C172080 Issued in CA
Practice address
1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Phone
(415) 456-9680
Fax
(415) 213-4659
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C172080 CA Primary

Addresses

Primary practice location

1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418

Mailing address

1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Phone (415) 456-9680

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730001832 CA Practitioner - Hospitalist 1153476999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

Practice addresses (Care Compare)

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Kentfield Hospital Long-term care hospital, Kentfield, CA, CCN 052043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C172080CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Inpatient Medical Group Internal Medicine CurrentSince Jul 24, 2023 Accepting new patients
Amplehealth Internal Medicine CurrentSince Jul 6, 2021 Accepting new patients
American Specialty Physicians Group Inc Internal Medicine CurrentSince Jun 10, 2024 Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Jul 6, 2021 Accepting new patients

Locations

6620 Coyle Ave
Ste 302
Carmichael, CA 95608
Phone (916) 966-8500

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

330 Montrose Dr
Folsom, CA 95630
Phone (916) 351-9151

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

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.

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1902055320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041418",
            "telephone_number": "415-456-9680",
            "fax_number": "415-213-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041418",
            "telephone_number": "415-456-9680",
            "fax_number": "415-213-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITARAMAN",
        "first_name": "KARTHIKEYAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C172080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

Verify at the official NPI Registry.