DIVYA T RAVIENDRAN M.D.
NPI 1639106610
Family Medicine in San Ramon, CA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
3151 CROW CANYON PL, SAN RAMON, CA 94583(888) 663-6331 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Divya T Raviendran M.d. NPPES

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

DIVYA T RAVIENDRAN M.D. (NPI 1639106610) is an individual family medicine provider in San Ramon, California, licensed in California (A81826) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1639106610
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIVYA T RAVIENDRANCredential: M.D.
Location Address3151 CROW CANYON PLSan Ramon, CA 94583-1359
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1639106610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A81826
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.
3151 CROW CANYON PL, San Ramon, CA 94583

Other Names 1

Former Name (1)Divya Raj M.d.

Other Identifiers 1

OtherA81826CA · M.d License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Divya T Raviendran 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 ID6406802669
PECOS Enrollment IDI20050330000880
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.

Areas of Expertise CMS Part B claims 2

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 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.
29 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94583 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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 3

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

Nurse Practitioner (Family)
3151 CROW CANYON PL
SAN RAMON, CA 94583
Pediatrics
3151 CROW CANYON PL
SAN RAMON, CA 94583
Nurse Practitioner (Family)
3151 CROW CANYON PL
SAN RAMON, CA 94583

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 Divya Raviendran's NPI number?

The NPI number for Divya Raviendran is 1639106610. It was assigned to this individual provider in the NPPES registry on June 27, 2006. The provider is also known as Divya Raj M.D..

Where is Divya Raviendran located?

Divya Raviendran practices at 3151 Crow Canyon Pl, San Ramon, CA 94583. The listed phone number is (888) 663-6331.

What is Divya Raviendran's specialty?

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

Is Divya Raviendran enrolled in Medicare?

Yes. Divya Raviendran 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.

When was this NPI record last updated?

The NPPES record for Divya Raviendran was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.