RAJESH K RANADIVE (MD) – Internal Medicine Physician, NPI 1497704522

RAJESH K RANADIVE (MD) is a healthcare provider. based in Petaluma, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A84630 (CA). The NPI Number for RAJESH K RANADIVE (MD) is 1497704522

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
RAJESH K RANADIVE (MD)
NPI
1497704522
Phone
(707) 763-0802
Address
141 LYNCH CREEK WAY STE C
Enumeration Date
8 May 2006
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4385537604
Group Practice PAC ID
5799683827
Professional Enrollment ID
I20040202001099
Address ID
CA945991411YO100XXDRXX302

Contacts

Secure Messaging
rranadive1658190@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for RAJESH K RANADIVE (MD)

  • 141, Lynch Creek Way, Petaluma, Sonoma County, California, 94954, United States

    PETALUMA, CA 949542390

    Phone: (707) 763-0802

    Fax: (707) 763-0803

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2023-05-31 • Largest payer in this snapshot: PFIZER INC. ($50).

Total Amount

$63

General + Research + Ownership

Payments

3

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040202001099IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94954)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799683827View full group profile
NameSpecialtyState
Family PracticeCA
P S Y C H I A T R YID
Nurse PractitionerCA
Registered Dietitian Or Nutrition ProfessionalCA
-CA
Registered Dietitian Or Nutrition ProfessionalCA
Registered Dietitian Or Nutrition ProfessionalCA
Nurse PractitionerCA
Internal MedicineCA
Clinical PsychologistCA

Reviews

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Frequently asked questions

What unique ID ties claims to RAJESH K RANADIVE (MD)?
NPI 1497704522 is assigned to RAJESH K RANADIVE (MD) under the national enumeration system.
Is RAJESH K RANADIVE (MD) currently active in the NPI registry?
CMS-published data lists RAJESH K RANADIVE (MD) as an active registrant.
What field does RAJESH K RANADIVE (MD) work in?
You can think of RAJESH K RANADIVE (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RAJESH K RANADIVE (MD)?
The page summarizes Petaluma, California for RAJESH K RANADIVE (MD); expand the address list for detail.
Is RAJESH K RANADIVE (MD) a real provider?
This page reflects official NPPES data for NPI 1497704522. Always confirm identity and privileges with the practice and licensing boards.

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