NPIMap

Individual provider Active NPI

Shravani Pasupneti, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Stanford, CA
National Provider Identifier
1972899615
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A130386 Issued in CA
Practice address
300 Pasteur Dr RM H3143
MC: 5236
Stanford, CA 94305-2200
Phone
(650) 723-6381
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.059375 IL
Internal Medicine Physician 207R00000X A130386 CA
Pulmonary Disease Physician 207RP1001X A130386 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A130386 CA Primary

Addresses

Primary practice location

300 Pasteur Dr RM H3143
MC: 5236
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr RM H3143
MC: 5236
Stanford, CA 94305-2200
Phone (650) 723-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180709002407 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9335495183 Reassigns benefits to 2 organizations
I20190511000094 NV Practitioner - Internal Medicine 9335495183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

10001 S Eastern Ave
Suite 408
Henderson, NV 89052-3908
Phone (702) 263-0117

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130386CAMDInternal Medicine Physician
125.059375ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Jun 18, 2018 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Jun 18, 2018 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jun 18, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
Rm H3143
Stanford, CA 94305
Phone (650) 723-6381

300 Pasteur Dr
Rm H2102
Stanford, CA 94305
Phone (650) 725-8447

10001 S Eastern Ave
Ste 408
Henderson, NV 89052
Phone (702) 263-0117

Interoperability endpoints

  • Direct secure messaging: spasupneti87519@direct.stanfordhealthcare.org

Organizations & group practices 5

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 8

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1972899615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H3143",
            "address_2": "MC: 5236",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H3143",
            "address_2": "MC: 5236",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUPNETI",
        "first_name": "SHRAVANI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.059375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A130386",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A130386",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A130386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.