DR. MAYANK SHAMI PATHAK M.D.
NPI 1114959475
Psychiatry & Neurology - Neurology in Orange, CA
About Dr. Mayank Shami Pathak M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAYANK SHAMI PATHAK M.D. (NPI 1114959475) is an individual neurology provider in Orange, California, licensed in California (G076833) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Mayank Shami Pathak M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mayank Pathak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Access Telecare California PC
- 194 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Montana enrollment
- 149 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mayank Pathak's NPI number?
The NPI number for Mayank Pathak is 1114959475. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Mayank Pathak located?
Mayank Pathak practices at 1140 W La Veta Ave Suite 730, Orange, CA 92868. The listed phone number is (714) 541-6800.
What is Mayank Pathak's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Mayank Pathak enrolled in Medicare?
Yes. Mayank Pathak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mayank Pathak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayank Pathak reassigns Medicare benefits to 4 organizations: Pavilion Neurology Medical Group Inc. (Orange, CA), Truong Neuroscience Institute Inc. (Fountain Valley, CA), Access Telecare California, P.C. (Dallas, TX) and Access Telecare, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mayank Pathak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mayank Pathak was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Dr. Mayank Shami Pathak, M.D. · NPI 1114959475
Neurology physician in Orange, California. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1114959475 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** G076833 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1140 W LA VETA AVE, SUITE 730, Orange, CA 92868-4223
- **Phone:** (714) 541-6800 · **Fax:** (714) 541-1119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Pavilion Neurology Medical Group Inc. (NPI 1972636009, Orange, CA); Truong Neuroscience Institute Inc. (NPI 1952643512, Fountain Valley, CA); Access Telecare California, P.C. (NPI 1861959959, Dallas, TX); Access Telecare, PLLC (NPI 1013303080, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare UPIN G42568 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114959475) · Data from the CMS NPPES public registry.