DEVIKA ICECREAMWALA MD
NPI 1639444748
Dermatology in San Diego, CA

Active since March 21, 2012PECOS EnrolledAccepts Medicare Assignment
6605 NANCY RIDGE DR, SAN DIEGO, CA 92121(858) 900-2747(858) 750-2984 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Mar 17, 2018, Jan 8, 2018 and 1 more (4 updates tracked since 2017).

About Devika Icecreamwala Md NPPES

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

DEVIKA ICECREAMWALA MD (NPI 1639444748) is an individual dermatology provider in San Diego, California, licensed in California (148974) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2012).

NPPES Registry Identity

NPI1639444748
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDEVIKA ICECREAMWALACredential: MD
Location Address6605 NANCY RIDGE DRSan Diego, CA 92121-2253
Mailing Address6605 Nancy Ridge DrSan Diego, CA 92121-2253 · (858) 900-2747 · Fax (858) 750-2984
Fax(858) 750-2984
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2012
Enumeration DateMarch 21, 2012
Last NPPES UpdateNovember 4, 20244 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1639444748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · 148974
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6605 NANCY RIDGE DR, San Diego, CA 92121

Other Names 1

Former Name (1)Devika Patel Md

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

Devika Icecreamwala 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 ID5496987968
PECOS Enrollment IDI20171031003045
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 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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
112 services22 patients
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.
67 services50 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.
53 services39 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
36 services30 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
33 services21 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 9

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

Pathology (Anatomic Pathology & Clinical Pathology)
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Family Medicine
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Dermatology
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Dermatology (Dermatopathology)
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Dermatology
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Dermatology
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Dermatology
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121
Dermatology (Dermatopathology)
6605 NANCY RIDGE DR
SAN DIEGO, CA 92121

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 Devika Icecreamwala's NPI number?

The NPI number for Devika Icecreamwala is 1639444748. It was assigned to this individual provider in the NPPES registry on March 21, 2012. The provider is also known as Devika Patel MD.

Where is Devika Icecreamwala located?

Devika Icecreamwala practices at 6605 Nancy Ridge Dr, San Diego, CA 92121. The listed phone number is (858) 900-2747.

What is Devika Icecreamwala's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Devika Icecreamwala enrolled in Medicare?

Yes. Devika Icecreamwala 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 Devika Icecreamwala was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.