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ANITA SIVASUBRAMANIAN M.D., INC
NPI 1679701262
Internal Medicine in Fresno, CA

Active since June 23, 2009CLIA 05D1103384 · Waiver
7035 N CHESTNUT AVE STE 105, FRESNO, CA 93720(559) 353-2300(559) 353-2323 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anita Sivasubramanian M.d., Inc NPPES

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

ANITA SIVASUBRAMANIAN M.D., INC (NPI 1679701262) is a healthcare organization registered as an internal medicine in Fresno, California and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Anita Sivasubramanian, Owner, as its authorized official.

NPPES Registry Identity

NPI1679701262
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANITA SIVASUBRAMANIAN M.D., INC
Location Address7035 N CHESTNUT AVE STE 105Fresno, CA 93720-0352
Mailing Address7035 N Chestnut Ave Ste 105Fresno, CA 93720-0352 · (559) 353-2300 · Fax (559) 353-2323
Phone(559) 353-2300
Fax(559) 353-2323
Organization SubpartNo
Authorized OfficialAnita SivasubramanianOwner · (559) 360-9589
Enumeration DateJune 23, 2009
Last NPPES UpdateJanuary 28, 2020
✔ NPI 1679701262 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 · A74387
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.
7035 N CHESTNUT AVE STE 105, Fresno, CA 93720
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Other Identifiers 2

Medicaid00A743870CA
OtherCB885ACA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita Sivasubramanian M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anita Sivasubramanian M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anita Sivasubramanian, M.D.
Internal Medicine
NPI 1447260328
7215 N FRESNO ST SUITE 102
Fresno, CA 93720
(559) 446-0409
✔ PECOS✔ Accepts Medicare2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1103384

Anita Sivasubramanian, MD Inc · Fresno, CA
Active · expires Aug 9, 2027
CLIA Number05D1103384
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorAnita Sivasubramanian, MD
Laboratory Phone(559) 353-2300
Laboratory LocationAnita Sivasubramanian, MD Inc7035 N Chestnut Ave, Suite 105, Fresno, CA 93720
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Anita Sivasubramanian M.D., Inc's NPI number?

The NPI number for Anita Sivasubramanian M.D., Inc is 1679701262. It was assigned to this organization in the NPPES registry on June 23, 2009.

Where is Anita Sivasubramanian M.D., Inc located?

Anita Sivasubramanian M.D., Inc is located at 7035 N Chestnut Ave Ste 105, Fresno, CA 93720. The listed phone number is (559) 353-2300.

What is Anita Sivasubramanian M.D., Inc's specialty?

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

Is Anita Sivasubramanian M.D., Inc enrolled in Medicare?

Yes. Anita Sivasubramanian M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anita Sivasubramanian M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Anita Sivasubramanian M.D., Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anita Sivasubramanian M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1103384) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anita Sivasubramanian M.D., Inc was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.