Dr Roopa Kyathanahally Siddabasappa, MD in San Jose, CA

Dr Roopa Kyathanahally Siddabasappa, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Jose, California. Her current practice location is 175 Bernal Rd, 1st Floor - Suite 140, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-3099.

Dr Roopa Kyathanahally Siddabasappa is licensed to practice in California (license number A101644) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386815090.

Contact Information

	Dr Roopa Kyathanahally Siddabasappa, MD
	175 Bernal Rd, 1st Floor - Suite 140, San Jose, CA 95119-1343
	(408) 972-3099
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Roopa Kyathanahally Siddabasappa
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	175 Bernal Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386815090
Provider Enumeration Date: 03/20/2008
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7214005024
Enrollment ID: I20081007000396

Medical Identifiers

Medical identifiers for Dr Roopa Kyathanahally Siddabasappa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386815090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A101644 (California)	Primary

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 Roopa Kyathanahally Siddabasappa allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Roopa Kyathanahally Siddabasappa 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 Roopa Kyathanahally Siddabasappa, MD 6620 Via Del Oro, San Jose, CA 95119-1392 Ph: (408) 360-2300	Dr Roopa Kyathanahally Siddabasappa, MD 175 Bernal Rd, 1st Floor - Suite 140, San Jose, CA 95119-1343 Ph: (408) 972-3099

Reviews and Comments

Psychiatry & Neurology Doctors in San Jose, CA

Angela Anqi Song, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Dr. Dale Hiltgen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2516 Samaritan Dr, Suite G, San Jose, CA 95124 Phone: 408-656-6224
Dr. Neal Elliot Slatkin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4850 Union Ave, San Jose, CA 95124 Phone: 408-559-5600 Fax: 408-559-5320
Farah Naz Pathan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 455 Silicon Valley Blvd, San Jose, CA 95138 Phone: 669-900-1731
Taninder Kaur Tharani, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1885 Lundy Ave Ste 223, San Jose, CA 95131 Phone: 408-284-9000
Dr. Harmeet Sachdev, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2516 Samaritan Dr Ste E, San Jose, CA 95124 Phone: 408-356-2164 Fax: 408-356-1044
Tyson Shimon Torres, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777

Dr Roopa Kyathanahally Siddabasappa, MD - Medicare Psychiatry & Neurology in San Jose, CA