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SUPRIYA BAVISETTY M.D.
NPI 1134410103
Pediatrics in Mission Hills, CA

Active since April 26, 2011PECOS Enrolled
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 365-9531(818) 898-1682 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Supriya Bavisetty M.d. NPPES

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

SUPRIYA BAVISETTY M.D. (NPI 1134410103) is an individual pediatrics provider in Mission Hills, California, licensed in California (A122963) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134410103
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUPRIYA BAVISETTYCredential: M.D.
Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345-1116
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559
Phone(818) 365-9531
Fax(818) 898-1682
Sole ProprietorNo
Enumeration DateApril 26, 2011
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1134410103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A122963
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11333 SEPULVEDA BLVD, Mission Hills, CA 91345
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Other Identifiers 2

Medicare PINCB231654CA
Medicaid001229630CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supriya Bavisetty M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91345 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

ALBERT CHEN-JI KO MD
Family Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
JEFFERY LEE MD
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 837-5750
RIGA LHENDUP PEMBA MD.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 837-5740
SHEILA HSIU CHEN TAI MD.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 837-5740
ATUL SHARMA MD.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 837-5740
HAYDEE HERRERA-ESPINOZA NP
Nurse Practitioner (Family)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
RELIANCE FB RX LLC
Pharmacy (Community/Retail Pharmacy)
11333 SEPULVEDA BLVD, SUITE 1200
MISSION HILLS, CA 91345
Los Angeles County (818) 837-5999
KHOSRO SADEGHANI MD
Dermatology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 837-5778

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 Supriya Bavisetty's NPI number?

The NPI number for Supriya Bavisetty is 1134410103. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Supriya Bavisetty located?

Supriya Bavisetty practices at 11333 Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 365-9531.

What is Supriya Bavisetty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Supriya Bavisetty enrolled in Medicare?

Yes. Supriya Bavisetty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Supriya Bavisetty was last updated on September 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.