Dr Shyam Sasidharan Kolangara, MD is a medicare enrolled "Internal Medicine" physician in Fillmore, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Clinicas Del Camino Real Inc, Clinicas Del Camino Real Inc and his current practice location is
355 Central Ave, Fillmore, California. You can reach out to his office (for appointments etc.) via phone at
(805) 524-4926.
Dr Shyam Sasidharan Kolangara is licensed to practice in California (license number A184725) 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 1497138499.
Physician's Profile
| Full Name | Dr Shyam Sasidharan Kolangara |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 13 Years |
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| Location | 355 Central Ave, Fillmore, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shyam Sasidharan Kolangara graduated from medical school in 2011
NPI Data:
- NPI Number: 1497138499
- Provider Enumeration Date: 07/08/2015
- Last Update Date: 05/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800192998
- Enrollment ID: I20200515000067
Medical Identifiers
Medical identifiers for Dr Shyam Sasidharan Kolangara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497138499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | P31342 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | A184725 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clinicas Del Camino Real Inc | 3173434396 | 81 |
| Clinicas Del Camino Real Inc | 3173434396 | 81 |
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 Shyam Sasidharan Kolangara allows following entities to bill medicare on his behalf.
| Entity Name | Sinai Hospital Of Baltimore, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043235666
PECOS PAC ID: 0941112346
Enrollment ID: O20031104000353 |
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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 Shyam Sasidharan Kolangara 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 |
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Dr Shyam Sasidharan Kolangara, MD
1040 Flynn Rd,
Camarillo, CA 93012-5092
Ph: (805) 673-3930 | Dr Shyam Sasidharan Kolangara, MD
355 Central Ave,
Fillmore, CA 93015-1920
Ph: (805) 524-4926 |
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