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PRIYANKA SHARMA KOSARAJU
NPI 1740867407
Pediatrics in Marina Del Rey, CA

Active since March 26, 2021PECOS Enrolled
13160 MINDANAO WAY STE 315, MARINA DEL REY, CA 90292(310) 301-6310(310) 301-6315 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2025, Aug 6, 2024, Apr 30, 2024 and 1 more (4 updates tracked since 2021).

About Priyanka Sharma Kosaraju NPPES

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

PRIYANKA SHARMA KOSARAJU (NPI 1740867407) is an individual pediatrics provider in Marina Del Rey, California, licensed in California (A195499) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1740867407
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRIYANKA SHARMA KOSARAJU
Location Address13160 MINDANAO WAY STE 315Marina Del Rey, CA 90292-7907
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 301-6310
Fax(310) 301-6315
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateMay 27, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1740867407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A195499
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13160 MINDANAO WAY STE 315, Marina Del Rey, CA 90292
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Secondary Practice Location 1

Location 1757 Westwood Plz Rm 3108Los Angeles, CA 90095-8358 · Phone (310) 267-9124 · Fax (310) 267-3842

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priyanka Sharma Kosaraju 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 Priyanka Kosaraju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.1 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

JULIA ISABELLE READING MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310
DR. LEIAN CHEN MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310
STACY MA MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310
LISANDRA OCHOA MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310

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 Priyanka Kosaraju's NPI number?

The NPI number for Priyanka Kosaraju is 1740867407. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Priyanka Kosaraju located?

Priyanka Kosaraju practices at 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292. The listed phone number is (310) 301-6310.

What is Priyanka Kosaraju's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Priyanka Kosaraju enrolled in Medicare?

Yes. Priyanka Kosaraju is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priyanka Kosaraju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Kosaraju reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Priyanka Kosaraju'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 Priyanka Kosaraju was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.