Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REVITAL K. FELDMAN MD
NPI 1689722548
Obstetrics & Gynecology in Santa Rosa, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
2240 MERCURY WAY STE 240, SANTA ROSA, CA 95407(707) 393-4081 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2026, Dec 1, 2021 (2 updates tracked since 2021).

About Revital K. Feldman Md NPPES

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

REVITAL K. FELDMAN MD (NPI 1689722548) is an individual obstetrics & gynecology provider in Santa Rosa, California, licensed in California (G83113) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1992).

NPPES Registry Identity

NPI1689722548
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameREVITAL K. FELDMANCredential: MD
Location Address2240 MERCURY WAY STE 240Santa Rosa, CA 95407-5413
Mailing Address2240 Mercury Way Ste 240Santa Rosa, CA 95407-5413
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1992
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1689722548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G83113
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2240 MERCURY WAY STE 240, Santa Rosa, CA 95407

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

Revital K. Feldman 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 ID7012076318
PECOS Enrollment IDI20260324001268
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 Reassignments

2

Medicare enrollment records show Revital Feldman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1275756652 (California)
  • 5,228 clinicians in this Medicare group
General Acute Care Hospital
NAVAJO ROUTE 4
Pinon, AZ 86510
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group

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 95407 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Revital Feldman's NPI number?

The NPI number for Revital Feldman is 1689722548. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Revital Feldman located?

Revital Feldman practices at 2240 Mercury Way Ste 240, Santa Rosa, CA 95407. The listed phone number is (707) 393-4081.

What is Revital Feldman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Revital Feldman enrolled in Medicare?

Yes. Revital Feldman 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 organizations bill Medicare for Revital Feldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Revital Feldman reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Bakersfield, CA) and Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Pinon, AZ). Each 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 Revital Feldman'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 Revital Feldman was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.