PHANI PURUSHOTHAM MORISETTI M.D. NPI 1053756924

NPI Information

  • NPI: 1053756924
  • Provider Name: PHANI PURUSHOTHAM MORISETTI, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1801 E MARCH LN STE B265
    STOCKTON, CA
    ZIP 95210
  • Phone: (209) 546-1868

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NPI Details

Phani Purushotham Morisetti, M.D. is a nephrology internal medicine in Stockton, CA with 12 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Phani Purushotham Morisetti, M.D. NPI is 1053756924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 E MARCH LN STE B265
STOCKTON, CA
ZIP 95210-655
Phone: (209) 546-1868
Fax: (209) 461-6505

The NPI 1053756924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Removal of tunneled central venous tube (HCPCS:36589)

The enumeration date for this NPI number is 5/6/2013 and was last updated on 3/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine302690LOUISIANANo
2207RN0300XInternal MedicineNephrology302690LOUISIANANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207RN0300XInternal MedicineNephrologyC184332CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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