DR. PRAVIN RAVI DATE M.D.
NPI 1871871053
Internal Medicine in Canyon Country, CA

Q: What is Pravin Date's NPI number?

The NPI number for Pravin Date is 1871871053. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Q: What is Pravin Date's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Pravin Date was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment

27141 HIDAWAY AVE STE 106, CANYON COUNTRY, CA 91351(661) 803-4824 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Mar 2, 2023, Nov 18, 2016 (3 updates tracked since 2016).

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About Dr. Pravin Ravi Date M.d. NPPES

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

DR. PRAVIN RAVI DATE M.D. (NPI 1871871053) is an individual internal medicine provider in Canyon Country, California, licensed in California (A147458) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2011).

NPPES Registry Identity

NPI1871871053

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRAVIN RAVI DATECredential: M.D.

Location Address27141 HIDAWAY AVE STE 106Canyon Country, CA 91351-4135

Mailing Address27141 Hidaway Ave Ste 106Canyon Country, CA 91351-4135 · (661) 252-8469

Phone(661) 803-4824

Sole ProprietorYes

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2011

Enumeration DateJuly 22, 2011

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1871871053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A147458

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License A147458 (CA)

27141 HIDAWAY AVE STE 106, Canyon Country, CA 91351

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pravin Ravi Date M.d. 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 ID3779702311

PECOS Enrollment IDI20170505002019

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 91351 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$61.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DONNA G FAGARANG

Nurse Practitioner (Family)