Anil Ravi Date, MD - Medicare Internal Medicine in Canyon Country, CA

Anil Ravi Date, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Canyon Country, California. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Facey Medical Foundation and his current practice location is 27141 Hidaway Ave Ste 106, Canyon Country, California. You can reach out to his office (for appointments etc.) via phone at (818) 220-5209.

Anil Ravi Date is licensed to practice in California (license number A125970) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972860864.

Contact Information

Anil Ravi Date, MD
27141 Hidaway Ave Ste 106,
Canyon Country, CA 91351-4135
(818) 220-5209
Not Available

Map and Direction




Physician's Profile

Full NameAnil Ravi Date
GenderMale
SpecialityInternal Medicine
Experience17 Years
Location27141 Hidaway Ave Ste 106, Canyon Country, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anil Ravi Date graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1972860864
  • Provider Enumeration Date: 04/16/2012
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688839582
  • Enrollment ID: I20140314000939

Medical Identifiers

Medical identifiers for Anil Ravi Date such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972860864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine A125970 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Holy Cross Medical CenterMission hills, CAHospital

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. Anil Ravi Date allows following entities to bill medicare on his behalf.
Entity NameProvidence Facey Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822
Entity NameInpatient Services Of California A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609019215
PECOS PAC ID: 3274421532
Enrollment ID: O20040413000789
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameAce Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639425663
PECOS PAC ID: 5698925576
Enrollment ID: O20121031000148
Entity NameKansal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043510183
PECOS PAC ID: 6406089739
Enrollment ID: O20140512001295
Entity NameHorizon Multicare Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598130569
PECOS PAC ID: 5294033734
Enrollment ID: O20160415001483
Entity NameDr. Anil Date, Md
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912411885
PECOS PAC ID: 5496018236
Enrollment ID: O20180410000404
Entity NameComprehensive Hospitalist & Ambulatory Physicians-hospitalists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639664030
PECOS PAC ID: 4082958665
Enrollment ID: O20181209000031

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. Anil Ravi Date 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
Anil Ravi Date, MD
27141 Hidaway Ave Ste 106,
Canyon Country, CA 91351-4135

Ph: (612) 528-4696
Anil Ravi Date, MD
27141 Hidaway Ave Ste 106,
Canyon Country, CA 91351-4135

Ph: (818) 220-5209

Reviews and Comments


Internal Medicine Doctors in Canyon Country, CA

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Phone: 661-250-5232    Fax: 661-250-5210

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.