DR. JEREMIAH UMAKANTHAN (M.D.) – Psychiatry Physician, NPI 1104967348

DR. JEREMIAH UMAKANTHAN (M.D.) is a healthcare provider. based in Victorville, California. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. A37135 (CA). The NPI Number for DR. JEREMIAH UMAKANTHAN (M.D.) is 1104967348

Main info

Male
Sole Proprietor
Name
DR. JEREMIAH UMAKANTHAN (M.D.)
NPI
1104967348
Phone
(760) 955-1777
Address
12625 HESPERIA RD
Enumeration Date
9 February 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEREMIAH UMAKANTHAN (M.D.)

  • 12625, Hesperia Road, Victorville, San Bernardino County, California, 92395, United States

    VICTORVILLE, CA 923957720

    Phone: (760) 955-1777

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-03-01

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
I20040301000429IPsychiatryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1311$0
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Insurance plans in this area (ZIP 92395)

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Reviews

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Frequently asked questions

What is DR. JEREMIAH UMAKANTHAN (M.D.)'s NPI number?
DR. JEREMIAH UMAKANTHAN (M.D.)'s NPI is 1104967348 — the number used across U.S. healthcare to identify this provider.
Is DR. JEREMIAH UMAKANTHAN (M.D.) still an active registrant?
DR. JEREMIAH UMAKANTHAN (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. JEREMIAH UMAKANTHAN (M.D.)?
DR. JEREMIAH UMAKANTHAN (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JEREMIAH UMAKANTHAN (M.D.)?
Directory geography for DR. JEREMIAH UMAKANTHAN (M.D.) centers on Victorville, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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