SURAJ KEDARISETTY MD
NPI 1477904506
Otolaryngology in Vallejo, CA

Q: What is Suraj Kedarisetty's NPI number?

The NPI number for Suraj Kedarisetty is 1477904506. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Suraj Kedarisetty's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Suraj Kedarisetty was last updated on July 21, 2022. 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.

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment

975 SERENO DR, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, May 12, 2022, Jun 30, 2021 and 1 more (4 updates tracked since 2016).

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About Suraj Kedarisetty Md NPPES

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

SURAJ KEDARISETTY MD (NPI 1477904506) is an individual otolaryngology provider in Vallejo, California, licensed in California (A171667) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477904506

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameSURAJ KEDARISETTYCredential: MD

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address1691 Candelero CtWalnut Creek, CA 94598-1019

Phone(707) 651-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 30, 2016

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1477904506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · A171667

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

975 SERENO DR, Vallejo, CA 94589

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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

Suraj Kedarisetty 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.

PECOS PAC ID6204129745

PECOS Enrollment IDI20210618000492

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94589 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

$145.83 typical visit price

range $65.02 – $191.95

Typical copayment $36.45 (range $16.25 – $47.98)

Most-billed visit code 99204

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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 20

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

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