Dr Ettayapurum V Sunderrajan, MD in Fountain Valley, CA

Dr Ettayapurum V Sunderrajan, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fountain Valley, California. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice County Of Santa Clara and his current practice location is 11180 Warner Ave, Suite 253, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (714) 979-2825.

Dr Ettayapurum V Sunderrajan is licensed to practice in California (license number A42385) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679511315.

Contact Information

	Dr Ettayapurum V Sunderrajan, MD
	11180 Warner Ave, Suite 253, Fountain Valley, CA 92708-7501
	(714) 979-2825
	(714) 979-2862

Map and Direction

Physician's Profile

Full Name	Dr Ettayapurum V Sunderrajan
Gender	Male
Speciality	Pulmonary Disease
Experience	55 Years
Location	11180 Warner Ave, Fountain Valley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ettayapurum V Sunderrajan graduated from medical school in 1969

NPI Data:

NPI Number: 1679511315
Provider Enumeration Date: 06/03/2006
Last Update Date: 04/24/2013

Medicare PECOS Information:

PECOS PAC ID: 1355533944
Enrollment ID: I20101014001084

Medical Identifiers

Medical identifiers for Dr Ettayapurum V Sunderrajan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679511315	NPI	-	NPPES
330387285	Other	CA	BLUE CROSS OF CALIFORNIA
330387825	Other	CA	AETNA
ZZZ33736Z	Other	CA	BLUE SHIELD OF CALIFORNIA
330387285	Other	CA	UNITED HEALTHCARE/PACIFICARE
GR0053330	Other	CA	CAL-OPTIMA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	A42385 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Clara Valley Medical Center	San jose, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Santa Clara	1254244973	722

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ettayapurum V Sunderrajan allows following entities to bill medicare on his behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170

Entity Name	First Choice Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ettayapurum V Sunderrajan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ettayapurum V Sunderrajan, MD 11180 Warner Ave, Suite 253, Fountain Valley, CA 92708-7501 Ph: (714) 979-2825	Dr Ettayapurum V Sunderrajan, MD 11180 Warner Ave, Suite 253, Fountain Valley, CA 92708-7501 Ph: (714) 979-2825

Reviews and Comments

Internal Medicine Doctors in Fountain Valley, CA

Dr. Kristine Suzanne Olson Arthur, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708 Phone: 714-549-1300 Fax: 714-433-3100
Dr. Sajeet Singh Sawhney, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708 Phone: 714-641-9696 Fax: 714-641-9696
Dr. Jennifer L Wong, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238 Fax: 714-434-8145
Dr. Sithu Lin, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 11100 Warner Ave Ste 218, Fountain Valley, CA 92708 Phone: 714-641-9696
Kien-an Duong, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708 Phone: 714-549-1300 Fax: 714-433-3100
Mr. Satinder Swaroop, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave, Suite #353, Fountain Valley, CA 92708 Phone: 714-751-3540 Fax: 714-751-5626
Yu-ming Ni, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238

Dr Ettayapurum V Sunderrajan, MD - Medicare Pulmonary Disease in Fountain Valley, CA