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DR. ROOPA KYATHANAHALLY SIDDABASAPPA M.D.
NPI 1386815090
Psychiatry & Neurology - Psychiatry in San Jose, CA

Active since March 20, 2008PECOS Enrolled
175 BERNAL RD, 1ST FLOOR - SUITE 140, SAN JOSE, CA 95119(408) 972-3099 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roopa Kyathanahally Siddabasappa M.d. NPPES

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

DR. ROOPA KYATHANAHALLY SIDDABASAPPA M.D. (NPI 1386815090) is an individual psychiatry provider in San Jose, California, licensed in California (A101644) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386815090
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROOPA KYATHANAHALLY SIDDABASAPPACredential: M.D.
Location Address175 BERNAL RD, 1ST FLOOR - SUITE 140San Jose, CA 95119-1343
Mailing Address6620 Via Del OroSan Jose, CA 95119-1392 · (408) 360-2300
Phone(408) 972-3099
Sole ProprietorNo
Enumeration DateMarch 20, 2008
Last NPPES UpdateDecember 14, 2021
✔ NPI 1386815090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A101644
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
175 BERNAL RD, San Jose, CA 95119
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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)

Dr. Roopa Kyathanahally Siddabasappa 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
14 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 95119 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLI DINIZ LMFT
Marriage & Family Therapist
175 BERNAL RD
SAN JOSE, CA 95119
Santa Clara County (408) 972-3099
MS. CYNTHIA RYAN FRANCIS LMFT
Marriage & Family Therapist
175 BERNAL RD, SUITE 140
SAN JOSE, CA 95119
Santa Clara County (408) 972-3099
ANN K. SUZUKI LCSW
Social Worker (Clinical)
175 BERNAL RD, SUITE 140
SAN JOSE, CA 95119
Santa Clara County (408) 362-4357
MARINA ALBINE BOLIARIS MFT
Marriage & Family Therapist
175 BERNAL RD, 140
SAN JOSE, CA 95119
Santa Clara County (408) 363-4842
DR. THERESA ANN ABRAMS PH.D.
Psychologist (Clinical Child & Adolescent)
175 BERNAL RD
SAN JOSE, CA 95119
Santa Clara County (408) 972-3099
MRS. JUDITH SIGRID LANG LCSW
Social Worker (Clinical)
175 BERNAL RD, SUITE 140
SAN JOSE, CA 95119
Santa Clara County (408) 972-3099
DR. ROBERT R HARDY PH.D.
Psychologist (Clinical Child & Adolescent)
175 BERNAL RD, SUITE 140
SAN JOSE, CA 95119
Santa Clara County (408) 972-3099
THOMAS CRAWFORD PHD
Psychologist (Clinical)
175 BERNAL RD, STE 230
SAN JOSE, CA 95119
Santa Clara County (408) 362-4350

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 Roopa Siddabasappa's NPI number?

The NPI number for Roopa Siddabasappa is 1386815090. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Where is Roopa Siddabasappa located?

Roopa Siddabasappa practices at 175 Bernal Rd 1st Floor - Suite 140, San Jose, CA 95119. The listed phone number is (408) 972-3099.

What is Roopa Siddabasappa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Roopa Siddabasappa enrolled in Medicare?

Yes. Roopa Siddabasappa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roopa Siddabasappa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roopa Siddabasappa reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Roopa Siddabasappa'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 Roopa Siddabasappa was last updated on December 14, 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.