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PHANI PURUSHOTHAM MORISETTI M.D.
NPI 1053756924
Internal Medicine - Nephrology in Stockton, CA

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
1801 E MARCH LN STE B265, STOCKTON, CA 95210(209) 546-1868(209) 461-6505 Get Directions Write a Review

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2023, Sep 4, 2019, Feb 9, 2017 and 1 more (4 updates tracked since 2017).

About Phani Purushotham Morisetti M.d. NPPES

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

PHANI PURUSHOTHAM MORISETTI M.D. (NPI 1053756924) is an individual nephrology provider in Stockton, California, licensed in California (C184332) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Monroe, and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1053756924
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePHANI PURUSHOTHAM MORISETTICredential: M.D.
Location Address1801 E MARCH LN STE B265Stockton, CA 95210-6655
Mailing Address1801 E March Ln Ste B265Stockton, CA 95210-6655 · (209) 546-1868 · Fax (209) 461-6505
Phone(209) 546-1868
Fax(209) 461-6505
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 6, 2013
Last NPPES UpdateMarch 5, 20234 updates tracked since enumeration
NPPES CertifiedMarch 5, 2023
✔ NPI 1053756924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in CA · C184332✔ Licensed in LA · 302690
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 302690 (LA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1801 E MARCH LN STE B265, Stockton, CA 95210
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Secondary Practice Location 1

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 675-7402 · Fax (318) 675-5913

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phani Purushotham Morisetti M.d. 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 ID3375840416
PECOS Enrollment IDI20170207000474
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Phani Morisetti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lsu Health Sciences Center Shreveport Faculty Group Practice
1,596 mi
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
NPI 1013374222 (318) 626-0000
Northeast Louisiana Kidney Specialists,llc
1,685 mi
Nephrology
711 WOOD ST, STE A
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 9 clinicians in this Medicare group
NPI 1568413185 (318) 323-8847
Infinite Medical PC
2,634 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Louisiana enrollment
  • 9 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
79 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services29 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
33 services20 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
31 services26 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
29 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Monroe

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190011
Location4864 Jackson StreetMonroe, LA 71202 · Ouachita County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190098
Location1541 Kings HighwayShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190317
Location911 Margaret PlaceShreveport, LA 71101 · Caddo County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
9%65 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%899 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
24%75 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%164 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 90% · 39 patients
90%39 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 75 patients
0%75 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

VISHWA SHETH M.D.
Internal Medicine (Nephrology)
1801 E MARCH LN STE B265
STOCKTON, CA 95210
San Joaquin County (209) 546-1868
NEHA NAINANI MD, MPH
Internal Medicine (Nephrology)
1801 E MARCH LN STE B265, SUITE B265
STOCKTON, CA 95210
San Joaquin County (209) 546-1868
DR. MEHUL RAVAL MD
Internal Medicine (Nephrology)
1801 E MARCH LN STE B265
STOCKTON, CA 95210
San Joaquin County (209) 546-1868

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 Phani Morisetti's NPI number?

The NPI number for Phani Morisetti is 1053756924. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Phani Morisetti located?

Phani Morisetti practices at 1801 E March Ln Ste B265, Stockton, CA 95210. The listed phone number is (209) 546-1868.

What is Phani Morisetti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Phani Morisetti enrolled in Medicare?

Yes. Phani Morisetti 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.

Which organizations bill Medicare for Phani Morisetti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phani Morisetti reassigns Medicare benefits to 3 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), Northeast Louisiana Kidney Specialists,llc (Monroe, LA) and Infinite Medical PC (Bristol, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phani Morisetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phani Morisetti accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Phani Morisetti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phani Morisetti affiliated with any hospitals?

According to CMS data, Phani Morisetti is affiliated with Ochsner Lsu Health Monroe, Ochsner Lsu Health Shreveport and Ochsner Lsu Health Shreveport-St Mary Medical Cent.

When was this NPI record last updated?

The NPPES record for Phani Morisetti was last updated on March 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.