Raveen Thekkeurimbil Raviendran, MD in San Diego, CA

Raveen Thekkeurimbil Raviendran, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in San Diego, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Anesthesia Service Medical Group and his current practice location is 3626 Ruffin Rd, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 565-9666.

Raveen Thekkeurimbil Raviendran is licensed to practice in California (license number A 108610) 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 1700081080.

Contact Information

	Raveen Thekkeurimbil Raviendran, MD
	3626 Ruffin Rd, San Diego, CA 92123-1810
	(858) 565-9666
	(858) 565-9441

Map and Direction

Physician's Profile

Full Name	Raveen Thekkeurimbil Raviendran
Gender	Male
Speciality	Pediatric Medicine
Experience	19 Years
Location	3626 Ruffin Rd, San Diego, 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:

Raveen Thekkeurimbil Raviendran graduated from medical school in 2005

NPI Data:

NPI Number: 1700081080
Provider Enumeration Date: 06/18/2007
Last Update Date: 08/22/2013

Medicare PECOS Information:

PECOS PAC ID: 1355521535
Enrollment ID: I20110204000297

Medical Identifiers

Medical identifiers for Raveen Thekkeurimbil Raviendran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700081080	NPI	-	NPPES
1700081080	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A 108610 (California)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	A 108610 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Service Medical Group	1153223219	237

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. Raveen Thekkeurimbil Raviendran allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Service Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450

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. Raveen Thekkeurimbil Raviendran 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
Raveen Thekkeurimbil Raviendran, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666	Raveen Thekkeurimbil Raviendran, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Raveen Thekkeurimbil Raviendran, MD - Medicare Pediatric Medicine in San Diego, CA