Guruprasad Tiptur Mahadevaiah

M.D. | Pediatric Cardiology | Male

---

Complete Profile:

Guruprasad Tiptur Mahadevaiah basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Guruprasad Tiptur Mahadevaiah
Credential :	M.D.
Gender :	Male

Business Address:

Guruprasad Tiptur Mahadevaiah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2929 K St Ste 200 Sacramento, CA, 95816-5122 United States
Phone Number :	916-750-2328
Fax Number :	916-710-8113

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1265769806
NPI Entity Type :	Individual
First Enrolment Date :	03 Nov, 2009
Last Updated On :	31 Jan, 2018

Medicare Participation:

Guruprasad Tiptur Mahadevaiah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2769789791
Medicare Enrollment ID :	I20180130001252
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1998
Accepts Medicare?	Yes. Guruprasad Tiptur Mahadevaiah accepts medicare insurance.

Group Practice Association:

Guruprasad Tiptur Mahadevaiah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Guruprasad Tiptur Mahadevaiah is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Capital Pediatric Cardiology Associates Inc	6507148111	3	2929 K St Suite 200 Sacramento, CA - 958165122 Ph: 2097502328	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Guruprasad Tiptur Mahadevaiah are as mentioned. Primary taxonomy code for Guruprasad Tiptur Mahadevaiah, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A152729	CA
2080P0203X	Pediatrics Pediatric Critical Care Medicine	No	A152729	CA

Legacy Identifiers:

Other legacy medical identifiers of Guruprasad Tiptur Mahadevaiah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
14901846	MEDICAID	NM

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2929 K St Ste 200 Sacramento, CA, 95816-5122 United States
Phone Number :	916-750-2328
Fax Number :	916-710-8113

Business Location:

Patients can refer following map for directions to Guruprasad Tiptur Mahadevaiah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.