KISHOR AVASARALA M.D.
NPI 1508853011
Pediatrics - Pediatric Cardiology in Oakland, CA

Q: What is Kishor Avasarala's NPI number?

The NPI number for Kishor Avasarala is 1508853011. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Kishor Avasarala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Kishor Avasarala was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 29, 2005PECOS EnrolledAccepts Medicare Assignment

747 52ND ST, CARDIOLOGY, OAKLAND, CA 94609(510) 428-3294(510) 428-3381 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kishor Avasarala M.d. NPPES

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

KISHOR AVASARALA M.D. (NPI 1508853011) is an individual pediatric cardiology provider in Oakland, California, licensed in California (A63007) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1508853011

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameKISHOR AVASARALACredential: M.D.

Location Address747 52ND ST, CARDIOLOGYOakland, CA 94609-1809

Mailing Address747 52nd St, CardiologyOakland, CA 94609-1809 · (510) 428-3294 · Fax (510) 428-3381

Phone(510) 428-3294

Fax(510) 428-3381

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 29, 2005

Last NPPES UpdateJune 19, 2012

✔ NPI 1508853011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · A63007

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

747 52ND ST, Oakland, CA 94609

Open in Google Maps ↗

Other Identifiers 1

Medicaid00A630070CA

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

Kishor Avasarala 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 ID3173503935

PECOS Enrollment IDI20110602000638

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.

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.

MRS. SHERYL LEE GARCIA RN

Registered Nurse (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ERICA TRINGALE N.P,

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3373

MRS. NATALIE PLOTKIN MS, ACPNP

Pediatrics (Pediatric Hematology-Oncology)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3484

REBECCA ROMANOV MD

Pediatrics

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3331

SHELLEY ANNE BULL CPNP-PC

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

KARIDA ADETORO

Student in an Organized Health Care Education/Training Program

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ANNIE ROQUE

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-4418

CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

General Acute Care Hospital

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

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 Kishor Avasarala's NPI number?

The NPI number for Kishor Avasarala is 1508853011. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Kishor Avasarala located?

Kishor Avasarala practices at 747 52nd St Cardiology, Oakland, CA 94609. The listed phone number is (510) 428-3294.

What is Kishor Avasarala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kishor Avasarala enrolled in Medicare?

Yes. Kishor Avasarala 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 Kishor Avasarala was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.