1. Home
  2. Directory
  3. California
  4. Wildomar
  5. Internal Medicine
  6. NPI Profile

KEVIN SURESH CHANDRASENA
NPI 1144614447
Internal Medicine in Wildomar, CA

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: November 01, 2026.

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

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
Open in Google Maps ↗

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

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.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
20 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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 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.

Which organization bills Medicare for Kevin Chandrasena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Chandrasena reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Kevin Chandrasena'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 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.