VISWANATHAN GAJENDRAN (MD) – Urology Physician, NPI 1053499731

VISWANATHAN GAJENDRAN (MD) is a healthcare provider. based in Oakland, California. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. A69056 (CA). The NPI Number for VISWANATHAN GAJENDRAN (MD) is 1053499731

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
VISWANATHAN GAJENDRAN (MD)
NPI
1053499731
Phone
(510) 625-6262
Address
1800 HARRISON ST FL 7
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167342011
Graduation Year
1975 (51 years ago)
PAC ID
7416144043
Group Practice PAC ID
8022922475
Professional Enrollment ID
I20101208001282
Address ID
CA958256525SA500XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,307 UROLOGY in CA

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Provider Addresses for VISWANATHAN GAJENDRAN (MD)

  • Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States

    OAKLAND, CA 946123429

    Phone: (510) 625-6262

    Type: Mailing

  • Kaiser Permanente Roseville Medical Center, 1600, Eureka Road, Roseville, Placer County, California, 95661, United States

    ROSEVILLE, CA 956613027

    Phone: (916) 784-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101208001282IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10394$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 94612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022922475View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalCA
Cardiovascular Disease (Cardiology)CA
H E M A T O L O G Y/ O N C O L O G YCA
Cardiovascular Disease (Cardiology)CA
Physical Therapist In Private PracticeCA
Family PracticeCA
-CA
Physical Therapist In Private PracticeCA
O P T O M E T R YCT
-CA

Reviews

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Frequently asked questions

What is the registry number for VISWANATHAN GAJENDRAN (MD)?
The registry entry for VISWANATHAN GAJENDRAN (MD) shows NPI 1053499731.
Is VISWANATHAN GAJENDRAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists VISWANATHAN GAJENDRAN (MD) as active.
What does the directory say VISWANATHAN GAJENDRAN (MD) does?
Insurance directories may phrase it differently, but here VISWANATHAN GAJENDRAN (MD) maps to Urology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit VISWANATHAN GAJENDRAN (MD) in Oakland, California?
For routing, start with Oakland, California for VISWANATHAN GAJENDRAN (MD), then verify phone and hours locally.
Why is information missing for VISWANATHAN GAJENDRAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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