DR. KRISHNANSU SUJATA TEWARI (M.D.) – Gynecologic Oncology Physician, NPI 1205868445

DR. KRISHNANSU SUJATA TEWARI (M.D.) is a healthcare provider. based in Los angeles, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A601614 (CA). The NPI Number for DR. KRISHNANSU SUJATA TEWARI (M.D.) is 1205868445

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISHNANSU SUJATA TEWARI (M.D.)
NPI
1205868445
Phone
(714) 456-6431
Address
PO BOX 513980
Enumeration Date
7 July 2006
Last Update Date
23 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567002
Graduation Year
1994 (32 years ago)
PAC ID
2365412285
Group Practice PAC ID
0143128009
Professional Enrollment ID
I20040728001213
Address ID
CA928683201OR101XXSXXX500
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

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. KRISHNANSU SUJATA TEWARI (M.D.)

  • Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico

    LOS ANGELES, CA 900513980

    Phone: (714) 456-6431

    Fax: (714) 456-7754

    Type: Mailing

  • UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States

    ORANGE, CA 928683201

    Phone: (714) 456-6431

    Fax: (714) 456-7754

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $165,560.

Total Amount is formed as General ($164,481) + Research ($1,079) + Ownership ($0) = $165,560.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($72,735).

Total Amount

$165,560

General + Research + Ownership

Payments

93

Total payment records

General Amount

$164,481

General payments

Research Amount

$1,079

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-28

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
I20040728001213IObstetrics/GynecologyCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes158116$0
99214Established patient office or other outpatient visit, 30-39 minutes14264$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
99442Telephone medical discussion with physician, 11-20 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 90051)

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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: 0143128009View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Obstetrics/Gynecology, Gynecological OncologyCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

How is DR. KRISHNANSU SUJATA TEWARI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KRISHNANSU SUJATA TEWARI (M.D.) with NPI 1205868445.
Does the file indicate DR. KRISHNANSU SUJATA TEWARI (M.D.) is practicing under active NPI?
Directory data currently reports DR. KRISHNANSU SUJATA TEWARI (M.D.) as active.
What taxonomy line describes DR. KRISHNANSU SUJATA TEWARI (M.D.)?
For research purposes, treat DR. KRISHNANSU SUJATA TEWARI (M.D.) as Gynecologic Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KRISHNANSU SUJATA TEWARI (M.D.) serve?
DR. KRISHNANSU SUJATA TEWARI (M.D.)'s listing highlights Los Angeles, California; more addresses can appear in NPPES.
Why does DR. KRISHNANSU SUJATA TEWARI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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