DR. ETTAYAPURUM V SUNDERRAJAN (M.D.) – Pulmonary Disease Physician, NPI 1679511315
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,780 PULMONARY DISEASE in CA
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Provider Addresses for DR. ETTAYAPURUM V SUNDERRAJAN (M.D.)
11180, Warner Avenue, Fountain Valley, Orange County, California, 92708, United States
SUITE 253
FOUNTAIN VALLEY, CA 927087501
Phone: (714) 979-2825
Fax: (714) 979-2862
Mailing address matches the actual address.
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: 2010-10-14
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 |
|---|---|---|---|---|
| I20101014001084 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 17 | 17 | $0 |
Insurance plans in this area (ZIP 92708)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | CA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 19 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Clinical Psychologist | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Gastroenterology | CA | |
| - | CA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine, Hospitalist | PA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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