DR. RAJIVE K DAS (M.D.) – Family Medicine Physician, NPI 1659348548
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2026-04-20. Reason: License revocation, suspension, or surrender.
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for DR. RAJIVE K DAS (M.D.)
1071, Port Malabar Boulevard Northeast, Country Club Vista, Palm Bay, Brevard County, Florida, 32905, United States
SUITE 111
PALM BAY, FL 329055161
Phone: (321) 725-9800
Fax: (321) 725-9978
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 $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($250).
Total Amount
$264
General + Research + Ownership
Payments
3
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $250 |
| Novo Nordisk Inc | $14 |
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: 2004-12-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041208000169 | I | Family Practice | FL | 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 | 236 | 60 | $0 |
| 99497 | Advance care planning, first 30 minutes | 39 | 39 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 35 | 35 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 15 | $0 |
Insurance plans in this area (ZIP 32905)
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