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DR. SOURAV DAS MD
NPI 1174805279
Family Medicine - Sports Medicine in Victorville, CA

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment
83.99/100
CMS Quality Rating
13010 HESPERIA RD STE 501, VICTORVILLE, CA 92395(442) 427-2441(442) 427-2477 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Oct 5, 2020 (2 updates tracked since 2020).

About Dr. Sourav Das Md NPPES

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

DR. SOURAV DAS MD (NPI 1174805279) is an individual sports medicine provider in Victorville, California, licensed in California (A140660) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174805279
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. SOURAV DASCredential: MD
Location Address13010 HESPERIA RD STE 501Victorville, CA 92395-8315
Mailing Address19111 Town Center DrApple Valley, CA 92308-8989 · (442) 427-2441
Phone(442) 427-2441
Fax(442) 427-2477
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 14, 2011
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1174805279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A140660
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
13010 HESPERIA RD STE 501, Victorville, CA 92395
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Sourav Das Md 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 ID2860614617
PECOS Enrollment IDI20160923002045
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 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
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.

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.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability91
Improvement Activities40
Cost68.53

Other Providers at the Same Location NPPES 2

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

BUKOLA GROSS
Nurse Practitioner (Family)
13010 HESPERIA RD STE 501
VICTORVILLE, CA 92395
San Bernardino County (760) 881-3717
SOURAV DAS M.D., INC.
Family Medicine (Sports Medicine)
13010 HESPERIA RD STE 501
VICTORVILLE, CA 92395
San Bernardino County (442) 427-2441

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 Sourav Das's NPI number?

The NPI number for Sourav Das is 1174805279. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Sourav Das located?

Sourav Das practices at 13010 Hesperia Rd Ste 501, Victorville, CA 92395. The listed phone number is (442) 427-2441.

What is Sourav Das's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Sourav Das enrolled in Medicare?

Yes. Sourav Das 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 Sourav Das was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.