Dr Navin A Mallavaram, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Pleasanton, California. He went to University Of Colorado School Of Medicine, Denver and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Bass Medical Group and his current practice location is
5924 Stoneridge Dr, Suite 206, Pleasanton, California. You can reach out to his office (for appointments etc.) via phone at
(925) 469-9120.
Dr Navin A Mallavaram is licensed to practice in California (license number A104871) 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 1962677724.
Physician's Profile
Full Name | Dr Navin A Mallavaram |
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Gender | Male |
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Speciality | Pain Management |
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Experience | 22 Years |
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Location | 5924 Stoneridge Dr, Pleasanton, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Navin A Mallavaram attended and graduated from University Of Colorado School Of Medicine, Denver in 2002
NPI Data:
- NPI Number: 1962677724
- Provider Enumeration Date: 04/23/2008
- Last Update Date: 03/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 0941349864
- Enrollment ID: I20091204000528
Medical Identifiers
Medical identifiers for Dr Navin A Mallavaram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962677724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 245250 (New York) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 104871 (California) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | A104871 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bass Medical Group | 9032111281 | 303 |
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 Navin A Mallavaram allows following entities to bill medicare on his behalf.
Entity Name | Bass Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
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Entity Name | Navin Mallavaram, M.d., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164708582 PECOS PAC ID: 0547421885 Enrollment ID: O20120413000531 |
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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 Navin A Mallavaram 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 Navin A Mallavaram, MD 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 Ph: (925) 469-9120 | Dr Navin A Mallavaram, MD 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 Ph: (925) 469-9120 |
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