VISESH ISRAEL RAVIKUMAR
NPI 1053949206
Pathology - Anatomic Pathology & Clinical Pathology in Anaheim, CA

Q: What is Visesh Ravikumar's NPI number?

The NPI number for Visesh Ravikumar is 1053949206. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Visesh Ravikumar's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Visesh Ravikumar was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

441 N LAKEVIEW AVE, ANAHEIM, CA 92807(877) 608-0044(877) 514-0903 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Apr 30, 2024, Mar 31, 2020 (3 updates tracked since 2020).

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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 anatomic pathology & clinical pathology provider in Anaheim, California, licensed in California (A193168) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2020).

NPPES Registry Identity

NPI1053949206

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameVISESH ISRAEL RAVIKUMAR

Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028

Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (877) 608-0044 · Fax (877) 514-0903

Phone(877) 608-0044

Fax(877) 514-0903

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1053949206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CA · A193168

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

441 N LAKEVIEW AVE, Anaheim, CA 92807

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Visesh Israel Ravikumar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709209919

PECOS Enrollment IDI20250926003566

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Visesh Ravikumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DINO A. IMPERIAL DO

Family Medicine