DR. SANJEEV KUMAR RALLY M.D.
NPI 1700152378
Psychiatry & Neurology - Psychiatry in San Diego, CA

Q: What is Sanjeev Rally's NPI number?

The NPI number for Sanjeev Rally is 1700152378. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Sanjeev Rally's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Sanjeev Rally was last updated on September 23, 2024. 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.

Active since March 28, 2012PECOS Enrolled

11515 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2024, Oct 24, 2016, Jun 27, 2016 (3 updates tracked since 2016).

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About Dr. Sanjeev Kumar Rally M.d. NPPES

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

DR. SANJEEV KUMAR RALLY M.D. (NPI 1700152378) is an individual psychiatry provider in San Diego, California, licensed in California (C179346) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kennesaw, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1700152378

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SANJEEV KUMAR RALLYCredential: M.D.

Location Address11515 EL CAMINO REAL STE 100San Diego, CA 92130-3034

Mailing Address11515 El Camino Real Ste 100San Diego, CA 92130-3034 · (925) 282-1778 · Fax (415) 296-5299

Phone(925) 282-1778

Fax(415) 296-5299

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 28, 2012

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1700152378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · C179346✔ Licensed in GA · 75654

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

11515 EL CAMINO REAL STE 100, San Diego, CA 92130

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Secondary Practice Location 1

Location 1750 Townpark Ln NW, Behavioral HealthKennesaw, GA 30144-5579 · Phone (404) 365-0966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjeev Kumar Rally M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618271362

PECOS Enrollment IDI20241002000594

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

Medicare enrollment records show Sanjeev Rally reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Research Foundation Inc

11 mi

Community/Behavioral Health

1202 MORENA BLVD STE 100
San Diego, CA 92110

Reassigned Medicare billing, California enrollment
147 clinicians in this Medicare group

NPI 1952328700 (619) 275-0822

Mark David Levine, MD Fresno

304 mi

Psychiatry

5100 N 6TH ST, STE 135
Fresno, CA 93710

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Mark David Levine MD Professional Corporation
329 clinicians in this Medicare group

NPI 1124387097 (559) 490-2067

Personal Recovery Network LLC

1,905 mi

Psychiatry

250 CORPORATE CENTER CT
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
592 clinicians in this Medicare group

NPI 1881990869 (770) 389-8100

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 92130 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

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 15

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

LISA AYN TANGE LCSW

Social Worker (Clinical)