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DR. SUNITHA SHETTY KANDAVARA M.D.
NPI 1366652455
Internal Medicine in Oakland, CA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
280 W MACARTHUR BLVD, OAKLAND, CA 94611(408) 910-4252 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sunitha Shetty Kandavara M.d. NPPES

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

DR. SUNITHA SHETTY KANDAVARA M.D. (NPI 1366652455) is an individual internal medicine provider in Oakland, California, licensed in California (A99270) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1366652455
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUNITHA SHETTY KANDAVARACredential: M.D.
Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642
Mailing Address116 Park Sharon DrSan Jose, CA 95136-2533 · (408) 910-4252
Phone(408) 910-4252
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 13, 2021
✔ NPI 1366652455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A99270
Definition
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.
280 W MACARTHUR BLVD, Oakland, CA 94611
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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 and accepts Medicare assignment

Dr. Sunitha Shetty Kandavara 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 ID446338016
PECOS Enrollment IDI20080422000826
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 Sunitha Kandavara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.6 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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 94611 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

JESSICA CHANG PHARM.D., APH
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-8859
NORMA MIYEKO MARUBAYASHI HOLLOWAY PHARMD
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6468
DIANA HIROS CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
IVY I. YU MD
Obstetrics & Gynecology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
THERESE M. HICKEY MD
Anesthesiology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
JOHN L. JONES MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNETTE CHENEVEY CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
MRS. MICHELE NG PHARM.D.
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6141

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 Sunitha Kandavara's NPI number?

The NPI number for Sunitha Kandavara is 1366652455. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Sunitha Kandavara located?

Sunitha Kandavara practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (408) 910-4252.

What is Sunitha Kandavara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunitha Kandavara enrolled in Medicare?

Yes. Sunitha Kandavara 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 organization bills Medicare for Sunitha Kandavara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunitha Kandavara reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Sunitha Kandavara'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 Sunitha Kandavara was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.