Avantika Rudraraju

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

A177500 Issued in CA

Practice address

201 E Orangeburg Ave
Modesto, CA 95350-5355

Phone

(209) 522-8881

NPI assigned

Jul 10, 2013

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Sleep Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Sleep Disorders Center a California General PartnershipGroup PAC ID 0446229579, 9 clinicians

Kiritkumar B Patel MD IncGroup PAC ID 0840238333, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as group

Quality

78.83

Promoting interoperability

97

Improvement activities

40

Cost

75.53

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiritkumar B Patel MD Inc

  dba Stanislaus Sleep Disorders Center Inc

  • Pulmonary Disease Physician
  • Modesto, CA
  • NPI 1750487021
  Medicare reassignment Care Compare group NPD
• Pacific Sleep Disorders Center a California General Partnership

  dba Pacific Sleep Disorders Center

  • Sleep Medicine (Internal Medicine) Physician
  • Stockton, CA
  • NPI 1073534103
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1952742751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505355",
            "telephone_number": "209-522-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505355",
            "telephone_number": "209-522-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDRARAJU",
        "first_name": "AVANTIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "10581A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A177500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Rubio
• Rosalio Orozco Rubio, M.D.
• Sabastian Diego Rubio
• Barbara Ruddy, NP
• Rudrah Corp
• Adrian Angelo Rueda, MSW
• Nancy Ruedas
• Cynthia Ruelas
• Parker Rugeley-Valle, ED.D.
• Sophia Ruhl

• Sleep Medicine (Internal Medicine) Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Sleep Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.

Verify at the official NPI Registry.