JANANI KUMARESAN MD
NPI 1063806057
Hospitalist in Folsom, CA

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1700 PRAIRIE CITY RD, FOLSOM, CA 95630(916) 351-4800(916) 351-4889 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Oct 4, 2018, Sep 12, 2018 (3 updates tracked since 2018).

About Janani Kumaresan Md NPPES

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

JANANI KUMARESAN MD (NPI 1063806057) is an individual hospitalist provider in Folsom, California, licensed in California (A175924) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063806057
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameJANANI KUMARESANCredential: MD
Location Address1700 PRAIRIE CITY RDFolsom, CA 95630-9594
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 351-4889
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 27, 2015
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1063806057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in CA · A175924 Licensed in NV · 18242
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1700 PRAIRIE CITY RD, Folsom, CA 95630

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

Janani Kumaresan 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 ID9032426648
PECOS Enrollment IDI20230810001218
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.

Areas of Expertise CMS Part B claims 4

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.

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.
297 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services137 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
103 services101 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.
98 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%135 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$70.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier28 claims29 services$19.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims28 services$105.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Internal Medicine (Critical Care Medicine)
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Internal Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Clinic/Center (Multi-Specialty)
1700 PRAIRIE CITY RD
FOLSOM, CA 95630

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 Janani Kumaresan's NPI number?

The NPI number for Janani Kumaresan is 1063806057. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Janani Kumaresan located?

Janani Kumaresan practices at 1700 Prairie City Rd, Folsom, CA 95630. The listed phone number is (916) 351-4800.

What is Janani Kumaresan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Janani Kumaresan enrolled in Medicare?

Yes. Janani Kumaresan 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 Janani Kumaresan was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.