ANITA VASANT PHATAK MD
NPI 1407147846
Internal Medicine in Riverside, CA
About Anita Vasant Phatak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANITA VASANT PHATAK MD (NPI 1407147846) is an individual internal medicine provider in Riverside, California, licensed in California (A122435) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Anita Vasant Phatak 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.
Medicare Billing Reassignment
Medicare enrollment records show Anita Phatak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Anita Phatak's NPI number?
The NPI number for Anita Phatak is 1407147846. It was assigned to this individual provider in the NPPES registry on April 20, 2011.
Where is Anita Phatak located?
Anita Phatak practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-2000.
What is Anita Phatak's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Anita Phatak enrolled in Medicare?
Yes. Anita Phatak 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 Anita Phatak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anita Phatak reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, 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 Anita Phatak'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 Anita Phatak was last updated on December 3, 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.
# Anita Vasant Phatak, MD · NPI 1407147846
Internal Medicine physician in Riverside, California. Individual provider, active in the CMS NPPES registry since April 20, 2011.
## Identity
- **NPI:** 1407147846 (Entity type: Individual)
- **Enumerated:** April 20, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A122435 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE, Riverside, CA 92505-3043
- **Phone:** (951) 353-2000
## 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:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1407147846) · Data from the CMS NPPES public registry.