VISESH ISRAEL RAVIKUMAR
NPI 1053949206
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR RM L235, STANFORD, CA 94305(650) 723-5252 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2024, Mar 31, 2020 (2 updates tracked since 2020).

About Visesh Israel Ravikumar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISESH ISRAEL RAVIKUMAR (NPI 1053949206) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Nevada School Of Medicine (2020).

NPPES Registry Identity

NPI1053949206
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVISESH ISRAEL RAVIKUMAR
Location Address300 PASTEUR DR RM L235Stanford, CA 94305-2200
Mailing Address300 Pasteur Dr Rm L235Stanford, CA 94305-2200 · (650) 723-5252
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1053949206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

300 PASTEUR DR RM L235, Stanford, CA 94305

Secondary Practice Location 1

Location 112631 E 17th AveAurora, CO 80045-2527 · Phone (303) 724-3483

Medicare Participation & PECOS Enrollment Status

Visesh Ravikumar is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Visesh Ravikumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6709209919

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250926003566

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for VISESH ISRAEL RAVIKUMAR

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235, PATHOLOGY
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305
Pathology (Clinical Pathology)
300 PASTEUR DR RM L235
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053949206, enumerated as an "individual" on March 31, 2020.

The provider is located at 300 PASTEUR DR RM L235 STANFORD, CA 94305 and the phone number is (650) 723-5252.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.