DR. PRAVIN RAVI DATE M.D.
NPI 1871871053
Internal Medicine in Canyon Country, CA
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
Specialties & Licenses 2
Group Practice 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Pravin Date reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clarita, CA 91387
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
West Hollywood, CA 90048
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
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 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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANYON COUNTRY, CA 91351
CANYON COUNTRY, CA 91351
CANYON COUNTRY, CA 91351
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 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.
Where is Pravin Date located?
Pravin Date practices at 27141 Hidaway Ave Ste 106, Canyon Country, CA 91351. The listed phone number is (661) 803-4824.
What is Pravin Date's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pravin Date enrolled in Medicare?
Yes. Pravin Date is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pravin Date's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pravin Date reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Santa Clarita, CA), Kansal Inc (West Hollywood, CA) and Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA). Each 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 Pravin Date'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 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 5 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.
# Dr. Pravin Ravi Date, M.D. · NPI 1871871053
Internal Medicine physician in Canyon Country, California. Individual provider, active in the CMS NPPES registry since July 22, 2011.
## Identity
- **NPI:** 1871871053 (Entity type: Individual)
- **Enumerated:** July 22, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A147458 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27141 HIDAWAY AVE STE 106, Canyon Country, CA 91351-4135
- **Phone:** (661) 803-4824
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1316409410, Santa Clarita, CA); Kansal Inc (NPI 1043510183, West Hollywood, CA); Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871871053) · Data from the CMS NPPES public registry.