1. Home
  2. Directory
  3. California
  4. Fountain Valley
  5. Internal Medicine
  6. NPI Profile

DR. ETTAYAPURUM V SUNDERRAJAN M.D.
NPI 1679511315
Internal Medicine - Pulmonary Disease in Fountain Valley, CA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
11180 WARNER AVE, SUITE 253, FOUNTAIN VALLEY, CA 92708(714) 979-2825(714) 979-2862 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ettayapurum V Sunderrajan M.d. NPPES

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

DR. ETTAYAPURUM V SUNDERRAJAN M.D. (NPI 1679511315) is an individual pulmonary disease provider in Fountain Valley, California, licensed in California (A42385) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1679511315
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ETTAYAPURUM V SUNDERRAJANCredential: M.D.
Location Address11180 WARNER AVE, SUITE 253Fountain Valley, CA 92708-7501
Mailing Address11180 Warner Ave, Suite 253Fountain Valley, CA 92708-7501 · (714) 979-2825 · Fax (714) 979-2862
Phone(714) 979-2825
Fax(714) 979-2862
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateJune 3, 2006
Last NPPES UpdateApril 24, 2013
✔ NPI 1679511315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A42385
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
11180 WARNER AVE, Fountain Valley, CA 92708
Open in Google Maps ↗

Other Identifiers 8

Other330387285CA · United Healthcare/pacificare
Other330387285CA · Blue Cross Of California
Medicare PIN110022448CA
Medicare ID-Type UnspecifiedW11174CA · Medicare Group No.
Other330387825CA · Aetna
Medicare UPINA85792CA
OtherGR0053330CA · Cal-optima
OtherZZZ33736ZCA · Blue Shield Of California

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

Dr. Ettayapurum V Sunderrajan 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 ID1355533944
PECOS Enrollment IDI20101014001084
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

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.

PERINATAL DX MEDICAL GRP OR ORANGE COUNTY
Obstetrics & Gynecology (Hospice and Palliative Medicine)
11180 WARNER AVE, #263
FOUNTAIN VALLEY, CA 92708
Orange County (714) 241-9742
DR. DAVID COHEN DDS
Dentist
11180 WARNER AVE, #451
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-4428
JIN JOU LU MD
Surgery
11180 WARNER AVE, SUITE 461
FOUNTAIN VALLEY, CA 92708
Orange County (714) 545-5501
DR. MICHAEL JORDAN VIZCARRA M.D.
Obstetrics & Gynecology
11180 WARNER AVE, SUITE 455
FOUNTAIN VALLEY, CA 92708
Orange County (714) 556-0536
CYNTHIA A. CORK, M.D., INC.
Obstetrics & Gynecology
11180 WARNER AVE, SUITE 455
FOUNTAIN VALLEY, CA 92708
Orange County (714) 556-0536
REGENERATIVE OPTIMUM HEALTH INC
Internal Medicine
11180 WARNER AVE, SUITE 257
FOUNTAIN VALLEY, CA 92708
Orange County (714) 885-8980
MR. SATINDER SWAROOP MD
Internal Medicine (Cardiovascular Disease)
11180 WARNER AVE, SUITE #353
FOUNTAIN VALLEY, CA 92708
Orange County (714) 751-3540
MS. JANET YOUN CHOI P.A.-C
Physician Assistant
11180 WARNER AVE, SUITE 165
FOUNTAIN VALLEY, CA 92708
Orange County (714) 429-5922

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 Ettayapurum Sunderrajan's NPI number?

The NPI number for Ettayapurum Sunderrajan is 1679511315. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Ettayapurum Sunderrajan located?

Ettayapurum Sunderrajan practices at 11180 Warner Ave Suite 253, Fountain Valley, CA 92708. The listed phone number is (714) 979-2825.

What is Ettayapurum Sunderrajan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ettayapurum Sunderrajan enrolled in Medicare?

Yes. Ettayapurum Sunderrajan 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 Ettayapurum Sunderrajan was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.