DR. SOMSUPHA KANJANAUTHAI (M.D.) – Interventional Cardiology Physician, NPI 1285843979
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
511 INTERVENTIONAL CARDIOLOGY in CA
Provider Addresses for DR. SOMSUPHA KANJANAUTHAI (M.D.)
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (323) 442-5100
Type: Mailing
1300 N VERMONT AVE
LOS ANGELES, CA 900276098
Phone: (323) 913-4200
Fax: (510) 281-0766
Type: Mailing
Los Angeles, San Pablo Nuevo, Distrito David, Chiriquí, Panama
LOS ANGELES, CA 90033
Phone: (323) 442-5100
Type: Location
3731 Wilshire Blvd
Los Angeles, CA 900102830
Phone: (323) 913-4200
Fax: (510) 281-0766
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
700 WEST AVE S
LA CROSSE, WI 546014783
Phone: (608) 785-0940
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($132).
Total Amount
$196
General + Research + Ownership
Payments
7
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $132 |
| ABIOMED | $38 |
| LANTHEUS MEDICAL IMAGING, INC. | $26 |
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: 2018-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180830003239 | I | Interventional Cardiology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 182 | 44 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 94 | 89 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 78 | 71 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 67 | 64 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 55 | 29 | $0 |
Insurance plans in this area (ZIP 90031)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | KS | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 11 | 11 |
| INTERVENTIONAL CARDIOLOGY | KS | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| U R O L O G Y | CA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| - | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | CA |
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