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DEEPTI SAMEER MUNDKUR MBBS
NPI 1629431077
Internal Medicine in Ramona, CA

Active since April 02, 2016Opted out of Medicare · through Aug 15, 2028

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2019, Apr 2, 2016 (2 updates tracked since 2016).

About Deepti Sameer Mundkur Mbbs NPPES

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

DEEPTI SAMEER MUNDKUR MBBS (NPI 1629431077) is an individual internal medicine provider in Ramona, California, licensed in California (A158230) and active in the NPI registry since April 2016. She has opted out of Medicare through August 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629431077
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDEEPTI SAMEER MUNDKURCredential: MBBS
Location Address211 13TH STRamona, CA 92065-2711
Mailing Address15611 Pomerado Rd Ste 400Poway, CA 92064-2437 · (858) 675-3100
Phone(760) 789-5160
Sole ProprietorNo
Enumeration DateApril 2, 2016
Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration
✔ NPI 1629431077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A158230
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.
211 13TH ST, Ramona, CA 92065
Open in Google Maps ↗

Other Identifiers 1

OtherA158230CA · Ca Med License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Deepti Sameer Mundkur Mbbs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2020 through August 15, 2028.

Opt-Out Effective DateAugust 15, 2020
Opt-Out In Effect ThroughAugust 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92065 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 7

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

DR. DAVID S DASSOFF M.D.
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-5160
DR. PATRICIA JENNIFER BURNS MD
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-5160
PAUL HYUNWOO HAN M.D.
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-5160
CHARLES LYNN HARDISON MD
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-5160
SUSAN FARRISH MD
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-5160
JERRY MILLER MD
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-5160
ARCH HEALTH PARTNERS
Family Medicine
211 13TH ST
RAMONA, CA 92065
San Diego County (760) 789-4500

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 Deepti Mundkur's NPI number?

The NPI number for Deepti Mundkur is 1629431077. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Deepti Mundkur located?

Deepti Mundkur practices at 211 13th St, Ramona, CA 92065. The listed phone number is (760) 789-5160.

What is Deepti Mundkur's specialty?

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

Is Deepti Mundkur enrolled in Medicare?

No. Deepti Mundkur has opted out of Medicare through August 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Deepti Mundkur was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.