1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. General Practice
  6. NPI Profile

DAMAYANTHI DURAIRAJ M.D.
NPI 1508829714
General Practice in San Bernardino, CA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
1574 W BASE LINE ST, SUITE 107, SAN BERNARDINO, CA 92411(909) 386-1880(909) 386-1882 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Damayanthi Durairaj M.d. NPPES

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

DAMAYANTHI DURAIRAJ M.D. (NPI 1508829714) is an individual general practice provider in San Bernardino, California, licensed in California (00A39805) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1508829714
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDAMAYANTHI DURAIRAJCredential: M.D.
Location Address1574 W BASE LINE ST, SUITE 107San Bernardino, CA 92411-1736
Mailing Address19726 Segovia LnYorba Linda, CA 92886-2841 · (909) 881-7320 · Fax (909) 881-7329
Phone(909) 386-1880
Fax(909) 386-1882
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 17, 2008
✔ NPI 1508829714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 00A39805
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1574 W BASE LINE ST, San Bernardino, CA 92411
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE78443CA
Medicare ID-Type Unspecified00A398050CA
Medicare UPIN00A398052CA

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

Damayanthi Durairaj M.d. 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 ID8527079805
PECOS Enrollment IDI20060530000101
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 Damayanthi Durairaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Marcos Medical Group Inc
9.2 mi
Obstetrics & Gynecology
14980 SUMMIT AVE STE 230
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1447446448 (909) 376-4438

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
308 services167 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
284 services153 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
80 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services21 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$27.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SAN MARCOS MEDICAL GROUP INC.
Nurse Practitioner (Family)
1574 W BASE LINE ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 881-7320
JESUSA AQUINO M.D
Pediatrics
1574 W BASE LINE ST, SUITE 107
SAN BERNARDINO, CA 92411
San Bernardino County (909) 881-7320
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO
Clinic/Center (Community Health)
1574 W BASE LINE ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 386-1880
CLARITA LOUISE LUMSDEN NP
Nurse Practitioner (Obstetrics & Gynecology)
1574 W BASE LINE ST, #107
SAN BERNARDINO, CA 92411
San Bernardino County (909) 386-1880

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 Damayanthi Durairaj's NPI number?

The NPI number for Damayanthi Durairaj is 1508829714. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Damayanthi Durairaj located?

Damayanthi Durairaj practices at 1574 W Base Line St Suite 107, San Bernardino, CA 92411. The listed phone number is (909) 386-1880.

What is Damayanthi Durairaj's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Damayanthi Durairaj enrolled in Medicare?

Yes. Damayanthi Durairaj 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 Damayanthi Durairaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damayanthi Durairaj reassigns Medicare benefits to San Marcos Medical Group Inc (Fontana, 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 Damayanthi Durairaj'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 Damayanthi Durairaj was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.