Dr Vijay Raveendran Pottathil, MD in Stanford, CA

Dr Vijay Raveendran Pottathil, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Stanford, California. He went to University Of Michigan Medical School and graduated in 2009 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Dignity Health Medical Foundation, County Of San Mateo and his current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Dr Vijay Raveendran Pottathil is licensed to practice in California (license number A147576) 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 1053546945.

Contact Information

	Dr Vijay Raveendran Pottathil, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vijay Raveendran Pottathil
Gender	Male
Speciality	Internal Medicine
Experience	16 Years
Location	300 Pasteur Dr, Stanford, California
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 Vijay Raveendran Pottathil attended and graduated from University Of Michigan Medical School in 2009

NPI Data:

NPI Number: 1053546945
Provider Enumeration Date: 05/20/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1951579770
Enrollment ID: I20170714001426

Medical Identifiers

Medical identifiers for Dr Vijay Raveendran Pottathil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053546945	NPI	-	NPPES
1053546945	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	39494 (Iowa)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	MD-39493 (Iowa)	Secondary
208M00000X	Hospitalist	39493 (Iowa)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	A147576 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Mateo Medical Center	San mateo, CA	Hospital
Sequoia Hospital	Redwood city, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dignity Health Medical Foundation	7810800661	1199
County Of San Mateo	9032023171	262

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 Vijay Raveendran Pottathil allows following entities to bill medicare on his behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	County Of San Mateo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292

Entity Name	County Of San Mateo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831268580 PECOS PAC ID: 9032023171 Enrollment ID: O20040123000822

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 Vijay Raveendran Pottathil 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 Vijay Raveendran Pottathil, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Dr Vijay Raveendran Pottathil, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Internal Medicine Doctors in Stanford, CA

Prista Charuworn, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661
Yu Kuang Lai, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Andrea Lorenze, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205
Audra Horomanski, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205
Meghan Brady Marmor, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Lauren Michelle Ulsh, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ann M Chen, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, A149, Mc5202, Stanford, CA 94305 Phone: 650-725-3376 Fax: 650-723-8305

Dr Vijay Raveendran Pottathil, MD - Medicare Internal Medicine in Stanford, CA