ANITA VASUDEVAN MD
NPI 1487281218
Family Medicine in Sebastopol, CA
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
Specialties & Licenses
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 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.
Medicare Billing Reassignment
Medicare enrollment records show Anita Vasudevan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95405
- Reassigned Medicare billing, California enrollment
- 61 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 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.
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.
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.
Which organization bills Medicare for Anita Vasudevan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anita Vasudevan reassigns Medicare benefits to Planned Parenthood Shasta Diablo, Inc. (Santa Rosa, 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 Vasudevan'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 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.
# Anita Vasudevan, MD · NPI 1487281218
Family Medicine physician in Sebastopol, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1487281218 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A186837 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 652 PETALUMA AVE STE H, Sebastopol, CA 95472-4266
- **Phone:** (707) 823-3166 · **Fax:** (707) 869-8171
## 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:** Planned Parenthood Shasta Diablo, Inc. (NPI 1659671600, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2020
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487281218) · Data from the CMS NPPES public registry.