SUJAY DUTTA MD
NPI 1184712168
Internal Medicine - Infectious Disease in Thousand Oaks, CA
About Sujay Dutta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUJAY DUTTA MD (NPI 1184712168) is an individual infectious disease provider in Thousand Oaks, California, licensed in California (G85674) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Sujay Dutta 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sujay Dutta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thousand Oaks, CA 91361
- Reassigned Medicare billing, California enrollment
- 20 clinicians in this Medicare group
Riverside, CA 92501
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
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 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 13
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
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 Sujay Dutta's NPI number?
The NPI number for Sujay Dutta is 1184712168. It was assigned to this individual provider in the NPPES registry on October 11, 2006.
Where is Sujay Dutta located?
Sujay Dutta practices at 2220 Lynn Rd Suite 301, Thousand Oaks, CA 91360. The listed phone number is (805) 495-1073.
What is Sujay Dutta's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Sujay Dutta enrolled in Medicare?
Yes. Sujay Dutta 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 Sujay Dutta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sujay Dutta reassigns Medicare benefits to 2 organizations: Mark H Mazur MD & Barry Statner MD A Professional Corporation (Thousand Oaks, CA) and Alertive Healthcare Medical Group Apc (Riverside, CA). 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 Sujay Dutta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sujay Dutta accept?
Health plans from Oscar Insurance Company list Sujay Dutta 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.
When was this NPI record last updated?
The NPPES record for Sujay Dutta was last updated on March 17, 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.
# Sujay Dutta, MD · NPI 1184712168
Infectious Disease physician in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1184712168 (Entity type: Individual)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** G85674 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2220 LYNN RD, SUITE 301, Thousand Oaks, CA 91360
- **Phone:** (805) 495-1073 · **Fax:** (805) 495-5836
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mark H Mazur MD & Barry Statner MD A Professional Corporation (NPI 1376631341, Thousand Oaks, CA); Alertive Healthcare Medical Group Apc (NPI 1467024331, Riverside, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** March 17, 2008
- **Other identifiers:** Medicaid 00G856740 (CA); Medicare UPIN H14871; Medicare ID-Type Unspecified WG85674A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1184712168) · Data from the CMS NPPES public registry.