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

REVATHY SAMPATH-KUMAR MD
NPI 1730648882
Internal Medicine - Cardiovascular Disease in San Diego, CA

Q: What is Revathy Sampath-kumar's NPI number?

The NPI number for Revathy Sampath-kumar is 1730648882. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Revathy Sampath-kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since March 18, 2019PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Revathy Sampath-kumar Md NPPES

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

REVATHY SAMPATH-KUMAR MD (NPI 1730648882) is an individual cardiovascular disease provider in San Diego, California, licensed in California (A177307) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Jolla.

NPPES Registry Identity

NPI1730648882

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameREVATHY SAMPATH-KUMARCredential: MD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-0001

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1730648882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · A177307

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Location 1

Location 19434 Medical Center DrLA Jolla, CA 92037-1337 · Phone (800) 926-8276 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revathy Sampath-kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

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 20

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

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)