SUDARSAN KOLLIMUTTATHUILLAM MD
NPI 1902324528
Internal Medicine - Hematology & Oncology in Irvine, CA

Active since September 04, 2017PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
16300 SAND CANYON AVE STE 207, IRVINE, CA 92618(949) 333-7580(949) 333-7599 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Jun 23, 2021, Jul 16, 2018 and 1 more (4 updates tracked since 2018).

About Sudarsan Kollimuttathuillam Md NPPES

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

SUDARSAN KOLLIMUTTATHUILLAM MD (NPI 1902324528) is an individual hematology & oncology provider in Irvine, California, licensed in California (A169385) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902324528
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSUDARSAN KOLLIMUTTATHUILLAMCredential: MD
Location Address16300 SAND CANYON AVE STE 207Irvine, CA 92618-3712
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Fax(949) 333-7599
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 4, 2017
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1902324528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CA · A169385
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
16300 SAND CANYON AVE STE 207, Irvine, CA 92618

Secondary Practice Locations 2

Location 12100 Main St Ste 300Huntington Beach, CA 92648-2489 · Phone (714) 252-9415 · Fax (714) 963-8407
Location 21000 FivepointIrvine, CA 92618-2377 · Phone (949) 671-4673 · Fax (949) 671-4329

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

Sudarsan Kollimuttathuillam 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 ID2961750849
PECOS Enrollment IDI20201105002189
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 12

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,920 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
456 services204 patients
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.
152 services120 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
149 services102 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
59 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Internal Medicine
16300 SAND CANYON AVE STE 207
IRVINE, CA 92618

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 Sudarsan Kollimuttathuillam's NPI number?

The NPI number for Sudarsan Kollimuttathuillam is 1902324528. It was assigned to this individual provider in the NPPES registry on September 4, 2017.

Where is Sudarsan Kollimuttathuillam located?

Sudarsan Kollimuttathuillam practices at 16300 Sand Canyon Ave Ste 207, Irvine, CA 92618. The listed phone number is (949) 333-7580.

What is Sudarsan Kollimuttathuillam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sudarsan Kollimuttathuillam enrolled in Medicare?

Yes. Sudarsan Kollimuttathuillam 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 Sudarsan Kollimuttathuillam was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.