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ANITA VASUDEVAN MD
NPI 1487281218
Family Medicine in Sebastopol, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
652 PETALUMA AVE STE H, SEBASTOPOL, CA 95472(707) 823-3166(707) 869-8171 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anita Vasudevan Md NPPES

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

ANITA VASUDEVAN MD (NPI 1487281218) is an individual family medicine provider in Sebastopol, California, licensed in California (A186837) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2020).

NPPES Registry Identity

NPI1487281218
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANITA VASUDEVANCredential: MD
Location Address652 PETALUMA AVE STE HSebastopol, CA 95472-4266
Mailing AddressPo Box 1449Guerneville, CA 95446-1449 · (077) 869-5977 · Fax (707) 869-5983
Phone(707) 823-3166
Fax(707) 869-8171
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedAugust 14, 2023
✔ NPI 1487281218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A186837
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
652 PETALUMA AVE STE H, Sebastopol, CA 95472
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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

Anita Vasudevan 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 ID2062867047
PECOS Enrollment IDI20260224003935
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 95472 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 6

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

KATHERINE ANN MILLER FNP-C
Nurse Practitioner (Family)
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
PHOEBE L SMITH M.D.
Family Medicine
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
HARRY S. SIMMS MD
Emergency Medicine
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
SHANNON WALLACE OTTENS LCSW
Social Worker (Clinical)
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
DANA LEVANDOSKI LCSW
Social Worker (Clinical)
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166
ANN-ELIZABETH GRIEGO MD
Family Medicine
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3166

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 Vasudevan's NPI number?

The NPI number for Anita Vasudevan is 1487281218. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Anita Vasudevan located?

Anita Vasudevan practices at 652 Petaluma Ave Ste H, Sebastopol, CA 95472. The listed phone number is (707) 823-3166.

What is Anita Vasudevan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anita Vasudevan enrolled in Medicare?

Yes. Anita Vasudevan 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 Anita Vasudevan was last updated on March 20, 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.