AVANTIKA RUDRARAJU
NPI 1952742751
Internal Medicine - Sleep Medicine in Modesto, CA

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
201 E ORANGEBURG AVE, MODESTO, CA 95350(209) 522-8881 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avantika Rudraraju NPPES

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

AVANTIKA RUDRARAJU (NPI 1952742751) is an individual sleep medicine provider in Modesto, California, licensed in California (A177500) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1952742751
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameAVANTIKA RUDRARAJU
Location Address201 E ORANGEBURG AVEModesto, CA 95350-5355
Mailing Address201 E Orangeburg AveModesto, CA 95350-5355 · (209) 522-8881
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 10, 2013
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1952742751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in CA · A177500
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 10581A (WY)
201 E ORANGEBURG AVE, Modesto, CA 95350

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

Avantika Rudraraju 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 ID7911293949
PECOS Enrollment IDI20230125002974
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 Reassignments

2

Medicare enrollment records show Avantika Rudraraju reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
201 E ORANGEBURG AVE STE E
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Sleep Medicine
1801 E MARCH LN, SUITE C310
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 11 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services143 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Dentist (Oral and Maxillofacial Surgery)
201 E ORANGEBURG AVE, STE A
MODESTO, CA 95350
Clinic/Center (Physical Therapy)
201 E ORANGEBURG AVE, SUITE E
MODESTO, CA 95350
Clinic/Center (Physical Therapy)
201 E ORANGEBURG AVE, STE E
MODESTO, CA 95350
Dentist (Oral and Maxillofacial Surgery)
201 E ORANGEBURG AVE, SUITE A
MODESTO, CA 95350
Dentist (Oral and Maxillofacial Surgery)
201 E ORANGEBURG AVE, STE A
MODESTO, CA 95350
Occupational Therapist (Hand)
201 E ORANGEBURG AVE, SUITE E
MODESTO, CA 95350

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 Avantika Rudraraju's NPI number?

The NPI number for Avantika Rudraraju is 1952742751. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Avantika Rudraraju located?

Avantika Rudraraju practices at 201 E Orangeburg Ave, Modesto, CA 95350. The listed phone number is (209) 522-8881.

What is Avantika Rudraraju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Avantika Rudraraju enrolled in Medicare?

Yes. Avantika Rudraraju 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 Avantika Rudraraju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avantika Rudraraju reassigns Medicare benefits to 2 organizations: Kiritkumar B Patel MD Inc (Modesto, CA) and Pacific Sleep Disorders Center A California General Partnership (Stockton, 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 Avantika Rudraraju'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 Avantika Rudraraju was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.