DR. MYSORE R NAGARAJA (M.D.) – Gastroenterology Physician, NPI 1760451298
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,990 GASTROENTEROLOGY in CA
Provider Addresses for DR. MYSORE R NAGARAJA (M.D.)
790 E Bonita Ave Fl 2
Pomona, CA 917671906
Phone: (909) 469-0033
Fax: (909) 620-9146
Type: Location
17075 Devonshire St Ste 200
Northridge, CA 913255407
Phone: (818) 363-3105
Fax: (818) 363-6178
Type: Location
17075 DEVONSHIRE ST STE 200
NORTHRIDGE, CA 913255407
Phone: (818) 363-3105
Fax: (818) 363-6178
Type: Mailing
811 E 11TH ST STE 208
UPLAND, CA 917864872
Phone: (909) 982-2279
Fax: (909) 946-3070
Type: Location
Northridge, Newton St. Cyres, Mid Devon, Devon, South West England, England, EX5 5BT, United Kingdom
#200
NORTHRIDGE, CA 913251600
Phone: (818) 363-3105
Fax: (818) 363-6178
Type: Mailing
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 $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: RedHill Biopharma Inc. ($63).
Total Amount
$78
General + Research + Ownership
Payments
3
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RedHill Biopharma Inc. | $63 |
| ABBVIE INC. | $15 |
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: 2010-05-25
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100525000514 | I | Gastroenterology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 42 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 34 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 91767)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | CA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 40 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care, Geriatric Medicine, Internal Medicine | CA | |
| Clinical Social Worker | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| R H E U M A T O L O G Y | CA | |
| E N D O C R I N O L O G Y | IL | |
| General Practice | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA |
Reviews
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