PRAVEEN AKUTHOTA M.D.
NPI 1396704698
Internal Medicine - Critical Care Medicine in San Diego, CA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
4520 EXECUTIVE DR, SAN DIEGO, CA 92121(800) 926-8273 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2024, Jun 1, 2020 (2 updates tracked since 2020).

About Praveen Akuthota M.d. NPPES

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

PRAVEEN AKUTHOTA M.D. (NPI 1396704698) is an individual critical care medicine provider in San Diego, California, licensed in California (C137976) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2001).

NPPES Registry Identity

NPI1396704698
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePRAVEEN AKUTHOTACredential: M.D.
Location Address4520 EXECUTIVE DRSan Diego, CA 92121-3018
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2001
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1396704698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · C137976
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 218412 (MA), C137976 (CA)
4520 EXECUTIVE DR, San Diego, CA 92121

Secondary Practice Locations 2

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273
Location 29300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273

Accepted Insurance

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

Praveen Akuthota 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.

PECOS PAC ID8527088699
PECOS Enrollment IDI20150930000369
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 Reassignments

2

Medicare enrollment records show Praveen Akuthota reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1386762300 (California)
  • 1,051 clinicians in this Medicare group
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
115 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers31 claims31 services$14.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers76 claims76 services$62.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$31.98 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers17 claims2,815 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
6 suppliers18 claims18 services$25.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Critical Care Medicine)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
Pharmacist
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
Dentist
4520 EXECUTIVE DR, SUITE 200
SAN DIEGO, CA 92121
Clinic/Center (Rehabilitation, Substance Use Disorder)
4520 EXECUTIVE DR, SUITE 225
SAN DIEGO, CA 92121
Physician Assistant (Medical)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
Surgery (Plastic and Reconstructive Surgery)
4520 EXECUTIVE DR, #150
SAN DIEGO, CA 92121
Dietitian, Registered
4520 EXECUTIVE DR, SUITE PLAZA 1
SAN DIEGO, CA 92121
Physical Therapist
4520 EXECUTIVE DR, STE 101
SAN DIEGO, CA 92121

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 Praveen Akuthota's NPI number?

The NPI number for Praveen Akuthota is 1396704698. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Praveen Akuthota located?

Praveen Akuthota practices at 4520 Executive Dr, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Praveen Akuthota's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Praveen Akuthota enrolled in Medicare?

Yes. Praveen Akuthota 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 Praveen Akuthota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Akuthota reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Praveen Akuthota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praveen Akuthota accept?

Health plans from Taro Health list Praveen Akuthota as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Praveen Akuthota was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.