KEVIN SURESH CHANDRASENA
NPI 1144614447
Internal Medicine in Wildomar, CA

Q: What is Kevin Chandrasena's NPI number?

The NPI number for Kevin Chandrasena is 1144614447. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Kevin Chandrasena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Chandrasena was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment

36450 INLAND VALLEY DR, WILDOMAR, CA 92595(866) 984-7483 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2021, Jul 28, 2018 (2 updates tracked since 2018).

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About Kevin Suresh Chandrasena NPPES

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

KEVIN SURESH CHANDRASENA (NPI 1144614447) is an individual internal medicine provider in Wildomar, California, licensed in California (20A16199) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1144614447

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKEVIN SURESH CHANDRASENA

Location Address36450 INLAND VALLEY DRWildomar, CA 92595-9583

Mailing Address36450 Inland Valley DrWildomar, CA 92595-9583

Phone(866) 984-7483

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2015

Enumeration DateMarch 25, 2015

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

✔ NPI 1144614447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · 20A16199✔ Licensed in IL · 125066341

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

36450 INLAND VALLEY DR, Wildomar, CA 92595

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Suresh Chandrasena 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 ID7214232016

PECOS Enrollment IDI20190313002313

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92595 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

SARAH DEVINE-COOTER FNP

Nurse Practitioner (Family)

36450 INLAND VALLEY DR
WILDOMAR, CA 92595

Riverside County (866) 984-7483

DR. JAMES KABELLIS II MD

Family Medicine (Adult Medicine)

36450 INLAND VALLEY DR
WILDOMAR, CA 92595

Riverside County (833) 574-2273

BASSAM AZZAM BS PHARMACY

Pharmacist

36450 INLAND VALLEY DR
WILDOMAR, CA 92595

Riverside County (951) 600-3322

DR. NOEL NEPOMUCENO JR. M.D.

Family Medicine (Sports Medicine)

36450 INLAND VALLEY DR, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
WILDOMAR, CA 92595

Riverside County (951) 600-3476

BRUCE A. HAYTON, M.D., INC.

Specialist

36450 INLAND VALLEY DR, SUITE 101
WILDOMAR, CA 92595

Riverside County (951) 698-7514

YALDA LYNN HOWARD PHARMD

Pharmacist

36450 INLAND VALLEY DR
WILDOMAR, CA 92595

Riverside County (951) 600-3322

DR. JEE-HYON PARK M.D.

Internal Medicine

36450 INLAND VALLEY DR
WILDOMAR, CA 92595

Riverside County (866) 206-2983

DANTE GIBSON PHARM.D.

Pharmacist

36450 INLAND VALLEY DR, SUITE #209
WILDOMAR, CA 92595

Riverside County (866) 370-1940

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 Kevin Chandrasena's NPI number?

The NPI number for Kevin Chandrasena is 1144614447. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Kevin Chandrasena located?

Kevin Chandrasena practices at 36450 Inland Valley Dr, Wildomar, CA 92595. The listed phone number is (866) 984-7483.

What is Kevin Chandrasena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Chandrasena enrolled in Medicare?

Yes. Kevin Chandrasena 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.

When was this NPI record last updated?

The NPPES record for Kevin Chandrasena was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.