Dr Lalitha Durairaj, MD - Medicare Nephrology in Fountain Valley, CA

Dr Lalitha Durairaj, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Fountain Valley, California. She graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Balboa Nephrology Medical Group Inc and her current practice location is 11100 Warner Ave, Ste 218, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (714) 641-9696.

Dr Lalitha Durairaj is licensed to practice in California (license number A068392) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306894548.

Contact Information

Dr Lalitha Durairaj, MD
11100 Warner Ave, Ste 218,
Fountain Valley, CA 92708-7511
(714) 641-9696
(714) 641-1211

Map and Direction




Physician's Profile

Full NameDr Lalitha Durairaj
GenderFemale
SpecialityNephrology
Experience50 Years
Location11100 Warner Ave, Fountain Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lalitha Durairaj graduated from medical school in 1974
  NPI Data:
  • NPI Number: 1306894548
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 02/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012969496
  • Enrollment ID: I20050214000695

Medical Identifiers

Medical identifiers for Dr Lalitha Durairaj such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306894548NPI-NPPES
A683920MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology A068392 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Balboa Nephrology Medical Group Inc963816401573

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lalitha Durairaj allows following entities to bill medicare on her behalf.
Entity NameBalboa Nephrology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316997505
PECOS PAC ID: 9638164015
Enrollment ID: O20040415001031

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lalitha Durairaj is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lalitha Durairaj, MD
4225 Executive Sq Ste 450,
La Jolla, CA 92037-8411

Ph: (858) 810-0000
Dr Lalitha Durairaj, MD
11100 Warner Ave, Ste 218,
Fountain Valley, CA 92708-7511

Ph: (714) 641-9696

Reviews and Comments


Internal Medicine Doctors in Fountain Valley, CA

Dr. Kristine Suzanne Olson Arthur, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708
Phone: 714-549-1300    Fax: 714-433-3100
Dr. Sajeet Singh Sawhney, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708
Phone: 714-641-9696    Fax: 714-641-9696
Dr. Jennifer L Wong, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708
Phone: 714-546-2238    Fax: 714-434-8145
Dr. Sithu Lin, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 11100 Warner Ave Ste 218, Fountain Valley, CA 92708
Phone: 714-641-9696    
Kien-an Duong, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708
Phone: 714-549-1300    Fax: 714-433-3100
Mr. Satinder Swaroop, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 11180 Warner Ave, Suite #353, Fountain Valley, CA 92708
Phone: 714-751-3540    Fax: 714-751-5626
Yu-ming Ni, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708
Phone: 714-546-2238    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.