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 EnrolledAccepts Medicare Assignment

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: October 18, 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, maintains a secondary practice location in La Jolla, and is a graduate of Wake Forest University School Of Medicine (2015).

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

Medical School CMSWake Forest University School Of MedicineGraduated 2015

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Revathy Sampath-kumar 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 ID8820552565

PECOS Enrollment IDI20260714000615

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 Revathy Sampath-kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California

0.1 mi

Nephrology

200 W ARBOR DR
San Diego, CA 92103

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

NPI 1003934803 (888) 926-8273

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 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.

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