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ADITYA DEVINENI MD, MS
NPI 1497499909
Internal Medicine in Victorville, CA

Active since April 21, 2022PECOS Enrolled
17259 JASMINE ST STE B, VICTORVILLE, CA 92395(760) 241-4929 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2025, Apr 21, 2022 (2 updates tracked since 2022).

About Aditya Devineni Md, Ms NPPES

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

ADITYA DEVINENI MD, MS (NPI 1497499909) is an individual internal medicine provider in Victorville, California, licensed in California (A189731) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497499909
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADITYA DEVINENICredential: MD, MS
Location Address17259 JASMINE ST STE BVictorville, CA 92395-7787
Mailing Address17259 Jasmine St Ste BVictorville, CA 92395-7787 · (760) 241-4929
Phone(760) 241-4929
Sole ProprietorNo
Enumeration DateApril 21, 2022
Last NPPES UpdateJune 29, 20252 updates tracked since enumeration
NPPES CertifiedJune 29, 2025
✔ NPI 1497499909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A189731
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17259 JASMINE ST STE B, Victorville, CA 92395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aditya Devineni Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Aditya Devineni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anupama Sharma MD Inc
Same address
Multi-Specialty
17259 JASMINE ST, SUITE B
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1922212653 (760) 241-4959

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 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 5

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

TEJAL DESAI, MD, INC.
Clinic/Center (Medical Specialty)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
San Bernardino County (442) 414-4198
VERONICA JIMENEZ PORTILLO FNP-C
Nurse Practitioner (Family)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
San Bernardino County (760) 241-4929
TEJAL DESAI
Internal Medicine (Rheumatology)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
San Bernardino County (760) 241-4929
SEAN CODY MD
Internal Medicine
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
San Bernardino County (760) 241-4929
MALAIKA CLINKSCALES-GABASAN FNP-C
Nurse Practitioner (Family)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
San Bernardino County (760) 241-4929

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 Aditya Devineni's NPI number?

The NPI number for Aditya Devineni is 1497499909. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Aditya Devineni located?

Aditya Devineni practices at 17259 Jasmine St Ste B, Victorville, CA 92395. The listed phone number is (760) 241-4929.

What is Aditya Devineni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Aditya Devineni enrolled in Medicare?

Yes. Aditya Devineni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aditya Devineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Devineni reassigns Medicare benefits to Anupama Sharma MD Inc (Victorville, 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 Aditya Devineni'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 Aditya Devineni was last updated on June 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.