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SIVAGAMI RANGASAMY
NPI 1700707445
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA

Active since July 21, 2026PECOS Enrolled
17 AUTUMNLEAF, IRVINE, CA 92614(805) 714-0976 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sivagami Rangasamy NPPES

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

SIVAGAMI RANGASAMY (NPI 1700707445) is an individual psychiatric/mental health provider in Irvine, California, licensed in California (95039952) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700707445
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSIVAGAMI RANGASAMY
Location Address17 AUTUMNLEAFIrvine, CA 92614-7597
Mailing Address17 AutumnleafIrvine, CA 92614-7597 · (805) 714-0976
Phone(805) 714-0976
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1700707445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95039952
17 AUTUMNLEAF, Irvine, CA 92614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sivagami Rangasamy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133688336
PECOS Enrollment IDI20260827004548
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 Reassignment

Medicare enrollment records show Sivagami Rangasamy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ehab Yacoub MD Inc.
32 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

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 92614 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Sivagami Rangasamy's NPI number?

The NPI number for Sivagami Rangasamy is 1700707445. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Sivagami Rangasamy located?

Sivagami Rangasamy practices at 17 Autumnleaf, Irvine, CA 92614. The listed phone number is (805) 714-0976.

What is Sivagami Rangasamy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sivagami Rangasamy enrolled in Medicare?

Yes. Sivagami Rangasamy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sivagami Rangasamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sivagami Rangasamy reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, CA). The 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 Sivagami Rangasamy'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 Sivagami Rangasamy was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.