Supriya Bavisetty, M.D.
NPI 1134410103 · Pediatrics Physician · Mission Hills, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supriya Bavisetty, M.D. is a Pediatrics Physician provider in Mission Hills, CA (NPI 1134410103).
Provider details
- NPI number
- 1134410103
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A122963 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2015-09-29
Frequently asked questions
- What is Supriya Bavisetty's NPI number?
- Supriya Bavisetty's National Provider Identifier (NPI) is 1134410103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Supriya Bavisetty's specialty?
- Supriya Bavisetty is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Supriya Bavisetty located?
- Supriya Bavisetty's practice location on file with NPPES is 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116.
- What is Supriya Bavisetty's phone number?
- The practice phone number listed in the NPPES registry for Supriya Bavisetty is (818) 365-9531.
- Does Supriya Bavisetty accept Medicare?
- Supriya Bavisetty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Supriya Bavisetty's NPI active?
- Yes — Supriya Bavisetty's NPI (1134410103) is active in the NPPES registry as of the last update on 2015-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.