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

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Dr Pravin Ravi Date, MD is a medicare enrolled "Internal Medicine" physician in Canyon Country, California. 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 (661) 803-4824.

Dr Pravin Ravi Date is licensed to practice in California (license number A147458) 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 1871871053.

Contact Information

Dr Pravin Ravi Date, MD
27141 Hidaway Ave Ste 106,
Canyon Country, CA 91351-4135
(661) 803-4824
Not Available

Map and Direction




Physician's Profile

Full NameDr Pravin Ravi Date
GenderMale
SpecialityInternal Medicine
Location27141 Hidaway Ave Ste 106, Canyon Country, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871871053
  • Provider Enumeration Date: 07/22/2011
  • Last Update Date: 09/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779702311
  • Enrollment ID: I20170505002019

Medical Identifiers

Medical identifiers for Dr Pravin Ravi Date such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871871053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A147458 (California)Primary
208M00000XHospitalist A147458 (California)Secondary

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 Pravin Ravi Date allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
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

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 Pravin 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
Dr Pravin Ravi Date, MD
27141 Hidaway Ave Ste 106,
Canyon Country, CA 91351-4135

Ph: (661) 803-4824		Dr Pravin Ravi Date, MD
27141 Hidaway Ave Ste 106,
Canyon Country, CA 91351-4135

Ph: (661) 803-4824

Reviews and Comments


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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.