Dr Sasidharan Ponthenkandath, MD in Riverside, CA

Dr Sasidharan Ponthenkandath, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Riverside, California. His current practice location is 3390 University Ave Ste 100, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (844) 827-8000.

Dr Sasidharan Ponthenkandath is licensed to practice in Wisconsin (license number 28183) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215132790.

Contact Information

	Dr Sasidharan Ponthenkandath, MD
	3390 University Ave Ste 100, Riverside, CA 92501-3315
	(844) 827-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sasidharan Ponthenkandath
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	3390 University Ave Ste 100, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215132790
Provider Enumeration Date: 06/15/2007
Last Update Date: 03/16/2026

Medicare PECOS Information:

PECOS PAC ID: 9537426853
Enrollment ID: I20171121003252

Medical Identifiers

Medical identifiers for Dr Sasidharan Ponthenkandath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215132790	NPI	-	NPPES
137-405-7	Other		ECFMG
30783600	Medicaid	WI
559798	Other	WI	UHC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	28183 (Wisconsin)	Primary

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 Sasidharan Ponthenkandath allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360

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 Sasidharan Ponthenkandath 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 Address	Practice Location Address
Dr Sasidharan Ponthenkandath, MD 3390 University Ave Ste 100, Riverside, CA 92501-3315 Ph: (844) 827-8000	Dr Sasidharan Ponthenkandath, MD 3390 University Ave Ste 100, Riverside, CA 92501-3315 Ph: (844) 827-8000

Reviews and Comments

Pediatrics Doctors in Riverside, CA

Iris Figueroa Lois, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5432 Fax: 951-697-5471
Dr. Stacy Marie Catalon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19314 Jesse Ln, Riverside, CA 92508 Phone: 951-782-3640 Fax: 951-776-4515
Dr. Hisham Ahmad Labanieh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000
Mohammad Shujauddin Siddiqui, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10769 Hole Ave, Suite 220, Riverside, CA 92505 Phone: 951-358-5554 Fax: 951-358-5980
Beth L. Drake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Thomas J Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3849 Fax: 951-784-3271
Clark Larkin Gifford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3685 Fax: 951-784-3256

Dr Sasidharan Ponthenkandath, MD - Medicare Pediatrics in Riverside, CA