MRS. SRIDEVI KARUMARI PRASATHAM KALYANASUNDARAM DNP
NPI 1164950085
Nurse Practitioner - Family in Fountain Valley, CA

Q: What is Sridevi Kalyanasundaram's NPI number?

The NPI number for Sridevi Kalyanasundaram is 1164950085. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Q: What is Sridevi Kalyanasundaram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 24, 2017PECOS Enrolled

11180 WARNER AVE STE 165, FOUNTAIN VALLEY, CA 92708(714) 429-5886 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mrs. Sridevi Karumari Prasatham Kalyanasundaram Dnp NPPES

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

MRS. SRIDEVI KARUMARI PRASATHAM KALYANASUNDARAM DNP (NPI 1164950085) is an individual family provider in Fountain Valley, California, licensed in California (95006542) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164950085

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SRIDEVI KARUMARI PRASATHAM KALYANASUNDARAMCredential: DNP

Location Address11180 WARNER AVE STE 165Fountain Valley, CA 92708-7515

Mailing Address323 Oak GlnIrvine, CA 92618-4705 · (401) 297-8181

Phone(714) 429-5886

Sole ProprietorNo

Enumeration DateMay 24, 2017

✔ NPI 1164950085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95006542

11180 WARNER AVE STE 165, Fountain Valley, CA 92708

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sridevi Karumari Prasatham Kalyanasundaram Dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Sridevi Kalyanasundaram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dispatchhealth-Ca, PC

6.9 mi

Emergency Medicine

140 CENTENNIAL WAY
Tustin, CA 92780

Reassigned Medicare billing, California enrollment
78 clinicians in this Medicare group

NPI 1639752553 (303) 904-7240

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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.

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 Sridevi Kalyanasundaram's NPI number?

The NPI number for Sridevi Kalyanasundaram is 1164950085. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Sridevi Kalyanasundaram located?

Sridevi Kalyanasundaram practices at 11180 Warner Ave Ste 165, Fountain Valley, CA 92708. The listed phone number is (714) 429-5886.

What is Sridevi Kalyanasundaram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sridevi Kalyanasundaram enrolled in Medicare?

Yes. Sridevi Kalyanasundaram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sridevi Kalyanasundaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sridevi Kalyanasundaram reassigns Medicare benefits to Dispatchhealth-Ca, PC (Tustin, CA). The 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 Sridevi Kalyanasundaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sridevi Kalyanasundaram was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.