Akhildeep Venkata Puskoor, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A155027 Issued in CA

Practice address

9500 Stockdale Hwy Ste 203
Bakersfield, CA 93311-3621

Phone

(661) 587-8110

Fax

(661) 587-8220

NPI assigned

May 14, 2013

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Venkata Akhildeep Puskoor Professional name

Electronic endpoints 1

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

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Hospitalists of Bakersfield IncGroup PAC ID 6800895103, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Premier Hospitalists of Bakersfield Inc

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1770525016
  Medicare reassignment Care Compare group NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment NPD
• Apex Healthcare of Bakersfield Inc

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1073384426
  NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Bakersfield, CA
  • NPI 1861424376
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520
  Care Compare affiliation

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1972949287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STOCKDALE HWY STE 203",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113621",
            "telephone_number": "661-587-8110",
            "fax_number": "661-587-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSKOOR",
        "first_name": "AKHILDEEP",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110119",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A155027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "c-cda",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VENKATA",
            "last_name": "PUSKOOR",
            "middle_name": "AKHILDEEP",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Purpose Driven Hospice, LLC
• Purposeful Mobility LLC
• Purposeful Residential Care, LLC (Purposeful Residential Care: Erie Place)
• Purposepath Transport LLC (Kern Medical Transport)
• Marilyn Purugganan
• Lisandra Putney
• Annette J Pyke, PHN
• Jazmine Pyle
• Priscilla Pyun
• Sajida Moiz Hussain Qamari, MD

• Hospitalist Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.