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: July 26, 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 and is a graduate of Georgetown University School Of Medicine (2022).

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
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2022
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.

17259 JASMINE ST STE B, Victorville, CA 92395

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2860908993
PECOS Enrollment IDI20250724000083
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 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 4

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

Nurse Practitioner (Family)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
Internal Medicine
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
Internal Medicine (Rheumatology)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395
Nurse Practitioner (Family)
17259 JASMINE ST STE B
VICTORVILLE, CA 92395

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.

When was this NPI record last updated?

The NPPES record for Aditya Devineni was last updated on June 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.