Mastaneh Nikravesh, MD - Medicare Internal Medicine in La Mesa, CA

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Mastaneh Nikravesh, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in La Mesa, California. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice San Diego Critical Care Medical Group Inc, Emergency And Acute Care Medical Corporation and her current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 740-6000.

Mastaneh Nikravesh is licensed to practice in California (license number A176795) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508429143.

Contact Information

Mastaneh Nikravesh, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
(619) 740-6000
Not Available

Map and Direction




Physician's Profile

Full NameMastaneh Nikravesh
GenderFemale
SpecialityInternal Medicine
Experience6 Years
Location5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mastaneh Nikravesh graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1508429143
  • Provider Enumeration Date: 04/18/2019
  • Last Update Date: 03/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961863881
  • Enrollment ID: I20250121003410

Medical Identifiers

Medical identifiers for Mastaneh Nikravesh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508429143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A176795 (California)Secondary
2083A0300XPreventive Medicine - Addiction Medicine A176795 (California)Secondary
208VP0000XPain Medicine - Pain Medicine A176795 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grossmont HospitalLa mesa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Diego Critical Care Medical Group Inc791108388664
Emergency And Acute Care Medical Corporation9537108279394

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mastaneh Nikravesh allows following entities to bill medicare on her behalf.
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameSan Diego Critical Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609915990
PECOS PAC ID: 7911083886
Enrollment ID: O20090108000551

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mastaneh Nikravesh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mastaneh Nikravesh, MD
600 1st Ave Ste 102-2405,
Seattle, WA 98104-2210

Ph: () -		Mastaneh Nikravesh, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019

Ph: (619) 740-6000

Reviews and Comments


Pain Medicine Doctors in La Mesa, CA

Mr. Hussein M Abdulhadi, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5965 Severin Dr, La Mesa, CA 91942
Phone: 619-326-0326    Fax: 619-326-0101
Dr. William Le Roy Wilson, M.D.
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942
Phone: 619-460-2700    Fax: 619-460-2702

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.