Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUREKHA SANTOSHKUMAR VETSA M.D (NPI 1184650871) is an individual internal medicine provider in Sunnyvale, California, licensed in California (A90010) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare ID-Type Unspecified00A900103CA · Geriatric Practice
Medicaid00A900100CA
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. Surekha Santoshkumar Vetsa 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 ID3274588306
PECOS Enrollment IDI20050322000225
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 claims13
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 nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
2,173 services378 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.
745 services219 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.
614 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
413 services165 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
361 services286 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.
262 services236 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.
199 services178 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
193 services174 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
101 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
43 services12 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
32 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94087 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16(range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44(range $5.99 – $42.40)
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.
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.
86.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%153 patients★★★★★4/55-star benchmark: 98%
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 claims49
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers69 claims156 services$5.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers49 claims60 services$0.97 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers16 claims611 services$5.11 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers18 claims76 services$3.52 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
3 suppliers24 claims792 services$4.44 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers14 claims650 services$0.23 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers23 claims64 services$7.17 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers28 claims93 services$3.71 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers17 claims450 services$3.28 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
8 suppliers45 claims1,314 services$2.44 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
6 suppliers179 claims5,416 services$4.29 avg. paid by Medicare
Gastrostomy/jejunostomy tube, standard, any material, any type, each B4087
Other-Enteral and Parenteral · category OB006N
3 suppliers11 claims11 services$24.24 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
6 suppliers106 claims43,151 services$0.29 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
7 suppliers79 claims44,791 services$0.26 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims4,877 services$1.05 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
5 suppliers28 claims12,844 services$0.51 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
5 suppliers32 claims32 services$53.04 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers64 claims64 services$37.40 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers55 claims55 services$41.62 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
3 suppliers40 claims40 services$5.76 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier108 claims108 services$10.36 avg. paid by Medicare
Gel or gel-like pressure pad for mattress, standard mattress length and width E0185
DME-Other DME · category DE000N
1 supplier15 claims15 services$131.22 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers58 claims63 services$40.67 avg. paid by Medicare
Mattress, foam rubber E0272
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$106.63 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
2 suppliers192 claims192 services$46.00 avg. paid by Medicare
Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
2 suppliers46 claims46 services$5.34 avg. paid by Medicare
Bed side rails, full length E0310
DME-Hospital Beds · category DB000N
1 supplier29 claims29 services$82.07 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
3 suppliers135 claims135 services$13.55 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
2 suppliers25 claims43 services$784.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.19 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers89 claims89 services$36.16 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
2 suppliers17 claims17 services$65.36 avg. paid by Medicare
Transfer device, any type, each E0705
DME-Other DME · category DE000N
2 suppliers12 claims12 services$3.31 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
4 suppliers92 claims92 services$4.34 avg. paid by Medicare
Heel loop/holder, any type, with or without ankle strap, each E0951
DME-Wheelchairs · category DD000N
1 supplier27 claims54 services$11.55 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
3 suppliers38 claims69 services$26.23 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
3 suppliers32 claims63 services$51.02 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
4 suppliers313 claims314 services$8.33 avg. paid by Medicare
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each E1225
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$18.32 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
4 suppliers289 claims289 services$57.61 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$25.51 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
2 suppliers32 claims32 services$32.20 avg. paid by Medicare
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611
DME-Wheelchairs · category DD021N
2 suppliers31 claims31 services$129.47 avg. paid by Medicare
1 supplier12 claims716 services$0.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers271 claims271 services$12.44 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$15.49 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$62.24 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers78 claims78 services$6.92 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier104 claims104 services$30.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
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 Surekha Vetsa's NPI number?
The NPI number for Surekha Vetsa is 1184650871. It was assigned to this individual provider in the NPPES registry on June 24, 2006.
Where is Surekha Vetsa located?
Surekha Vetsa practices at 1351 Selo Dr, Sunnyvale, CA 94087. The listed phone number is (650) 888-1917.
What is Surekha Vetsa's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Surekha Vetsa enrolled in Medicare?
Yes. Surekha Vetsa 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 Surekha Vetsa was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Surekha Santoshkumar Vetsa, M.D · NPI 1184650871
Internal Medicine physician in Sunnyvale, California. Individual provider, active in the CMS NPPES registry since June 24, 2006.
## Identity
- **NPI:** 1184650871 (Entity type: Individual)
- **Enumerated:** June 24, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A90010 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1351 SELO DR, Sunnyvale, CA 94087-4411
- **Phone:** (650) 888-1917 · **Fax:** (408) 733-0777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** February 8, 2008
- **Other identifiers:** Medicare PIN 00A900102 (CA); Medicare UPIN I26387 (CA); Other 00A900100 (CA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1184650871) · Data from the CMS NPPES public registry.