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DR. SUMANTH KIDAMBI MD
NPI 1053722363
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Santa Clara, CA

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment
710 LAWRENCE EXPY DEPT 342, SANTA CLARA, CA 95051(408) 568-0043 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Dec 7, 2022, Jan 24, 2019 (3 updates tracked since 2019).

About Dr. Sumanth Kidambi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUMANTH KIDAMBI MD (NPI 1053722363) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Santa Clara, California, licensed in California (A137936) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053722363
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SUMANTH KIDAMBICredential: MD
Location Address710 LAWRENCE EXPY DEPT 342Santa Clara, CA 95051-5173
Mailing Address710 Lawrence Expy Dept 342Santa Clara, CA 95051-5173 · (408) 568-0043
Phone(408) 568-0043
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 9, 2014
Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1053722363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · A137936
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
710 LAWRENCE EXPY DEPT 342, Santa Clara, CA 95051
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sumanth Kidambi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638550999
PECOS Enrollment IDI20220718001589
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER CHUNG MD
Surgery
710 LAWRENCE EXPY DEPT 342
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3780
DR. AMOD TENDULKAR MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
710 LAWRENCE EXPY DEPT 342
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3779
DIPAYON ROY M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
710 LAWRENCE EXPY DEPT 342
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
DR. SIRTAZ ADATYA M.D.
Internal Medicine (Cardiovascular Disease)
710 LAWRENCE EXPY DEPT 342
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3726
ANDREW AN VU M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
710 LAWRENCE EXPY DEPT 342
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3749

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumanth Kidambi's NPI number?

The NPI number for Sumanth Kidambi is 1053722363. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Sumanth Kidambi located?

Sumanth Kidambi practices at 710 Lawrence Expy Dept 342, Santa Clara, CA 95051. The listed phone number is (408) 568-0043.

What is Sumanth Kidambi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Sumanth Kidambi enrolled in Medicare?

Yes. Sumanth Kidambi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sumanth Kidambi was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.