MASTANEH NIKRAVESH (MD) – Pain Medicine Physician, NPI 1508429143
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,558 INTERNAL MEDICINE in CA
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Provider Addresses for MASTANEH NIKRAVESH (MD)
6629, Dwane Avenue, Navajo, Del Cerro, San Diego, San Diego County, California, 92120, United States
SAN DIEGO, CA 921203928
Phone:
Type: Mailing
209, East Devonshire Avenue, Hemet, Riverside County, California, 92543, United States
HEMET, CA 925433083
Phone: (951) 925-6389
Type: Location
3434 Midway Dr Ste 2001
San Diego, CA 921104924
Phone: (619) 325-1161
Fax: (619) 325-1717
Type: Location
600 1ST AVE STE 102-2405
SEATTLE, WA 981042210
Phone:
Type: Mailing
5555 GROSSMONT CENTER DR
LA MESA, CA 919423019
Phone: (619) 740-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $4,269.
Total Amount is formed as General ($4,269) + Research ($0) + Ownership ($0) = $4,269.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($2,674).
Total Amount
$4,269
General + Research + Ownership
Payments
31
Total payment records
General Amount
$4,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,674 |
| Abbott Laboratories | $1,123 |
| SI-BONE, INC. | $230 |
| GlaxoSmithKline, LLC. | $125 |
| Saluda Medical Americas, Inc. | $117 |
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: 2025-01-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241205002015 | I | Internal Medicine | WI | TBD |
| I20250121003410 | I | Internal Medicine | CA | TBD |
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.
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 92120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| Internal Medicine | CA | |
| General Surgery | CA | |
| Nephrology, Internal Medicine | CA | |
| P S Y C H I A T R Y | CA | |
| Internal Medicine | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Critical Care (Intensivists), Pulmonary Disease | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA |
Reviews
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