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LILY RAVEL VAN TONGEREN MD
NPI 1609516046
Family Medicine in Santa Monica, CA

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
1245 16TH ST STE 309, SANTA MONICA, CA 90404(310) 319-4377 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2025, Jun 20, 2025 (2 updates tracked since 2025).

About Lily Ravel Van Tongeren Md NPPES

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

LILY RAVEL VAN TONGEREN MD (NPI 1609516046) is an individual family medicine provider in Santa Monica, California, licensed in California (A200941) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Drexel University College Of Medicine (2022).

NPPES Registry Identity

NPI1609516046
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLILY RAVEL VAN TONGERENCredential: MD
Location Address1245 16TH ST STE 309Santa Monica, CA 90404-1239
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5200
Phone(310) 319-4377
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1609516046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A200941
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1245 16TH ST STE 309, Santa Monica, CA 90404
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18641 Wilshire Blvd Ste 115Beverly Hills, CA 90211-2919 · Phone (310) 855-7002 · Fax (310) 855-7003
Location 21399 Roxbury Dr Ste 100Los Angeles, CA 90035-4709 · Phone (310) 557-2273
Location 31625 Schrader BlvdLos Angeles, CA 90028-6213 · Phone (323) 993-7500

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

Lily Ravel Van Tongeren 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.

PECOS PAC ID7719406578
PECOS Enrollment IDI20250523002019
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 Lily Van Tongeren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
3.9 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

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 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 15

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

JOSHUA KHALILI MD
Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4377
DR. KASHIA ROSENAU PHD
Psychologist
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4377
MALIHA KHAN
Family Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4377
ALEXANDER BRANDAN KAPLAN MD
Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4377
DR. OLEG MELAMED MD
Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4377
REZA KHORSAN M.D.
Internal Medicine (Nephrology)
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4371
DR. JORGE DANIEL FLAUTERO ARCOS MD
Family Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 301-8707
DR. EVA LORRAINE MATHEWS DO
Family Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4377

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 Lily Van Tongeren's NPI number?

The NPI number for Lily Van Tongeren is 1609516046. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Lily Van Tongeren located?

Lily Van Tongeren practices at 1245 16th St Ste 309, Santa Monica, CA 90404. The listed phone number is (310) 319-4377.

What is Lily Van Tongeren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lily Van Tongeren enrolled in Medicare?

Yes. Lily Van Tongeren 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 Lily Van Tongeren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Van Tongeren reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, 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 Lily Van Tongeren'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 Lily Van Tongeren was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.