MASTANEH NIKRAVESH MD
NPI 1508429143
Pain Medicine - Pain Medicine in La Mesa, CA
About Mastaneh Nikravesh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASTANEH NIKRAVESH MD (NPI 1508429143) is an individual pain medicine provider in La Mesa, California, licensed in California (A176795) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Mastaneh Nikravesh 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 Reassignments
5Medicare enrollment records show Mastaneh Nikravesh reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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 91942 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.
LA MESA, CA 91942
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 Mastaneh Nikravesh's NPI number?
The NPI number for Mastaneh Nikravesh is 1508429143. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Mastaneh Nikravesh located?
Mastaneh Nikravesh practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-6000.
What is Mastaneh Nikravesh's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Mastaneh Nikravesh enrolled in Medicare?
Yes. Mastaneh Nikravesh 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 organizations bill Medicare for Mastaneh Nikravesh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mastaneh Nikravesh reassigns Medicare benefits to 5 organizations: San Diego Critical Care Medical Group, Inc (El Cajon, CA), Zachary C Cohen MD Apc (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), Comprehensive Pain ASC, LLC (San Diego, CA) and Gundersen Lutheran Medical Center, Inc (La Crosse, WI). Each 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 Mastaneh Nikravesh'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 Mastaneh Nikravesh was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mastaneh Nikravesh, MD · NPI 1508429143
Pain Medicine physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1508429143 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** A176795 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 740-6000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): San Diego Critical Care Medical Group, Inc (NPI 1609915990, El Cajon, CA); Zachary C Cohen MD Apc (NPI 1689334468, San Diego, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); Comprehensive Pain ASC, LLC (NPI 1124406632, San Diego, CA); Gundersen Lutheran Medical Center, Inc (NPI 1689918377, La Crosse, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508429143) · Data from the CMS NPPES public registry.