Sujal Mandavia, M.D.
NPI 1992791164ActiveIndividual· Emergency Medicine, Emergency Medical Services· Los Angeles, CA
Emergency Medicine, Emergency Medical Services (M.D.) with Ridgecrest Regional Hospital, practicing in Los Angeles, California. Mostly services rather than prescriptions: Medicare paid $1,452 for 14 patients in 2024, with only 18 Part D claims. Hologic Sales and Service, LLC reported $18.84 in payments in 2024, mostly food and beverage. Lists Ridgecrest Regional Hospital as a hospital affiliation.
Overview
| NPI | 1992791164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 23, 2005 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine, Emergency Medical Services Primary | 207PE0004X | G79723 | CA |
| Emergency Medicine | 207P00000X | G79723 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA); Practitioner - Emergency Medicine (OH); Practitioner - Emergency Medicine (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 20 across 11 procedure codes |
| Paid by Medicare | $1,452 |
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 20 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $170.86 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Ridgecrest Regional HospitalRidgecrest, CA · 95 clinicians
Hospital affiliation
- Ridgecrest Regional HospitalRidgecrest, CA
Industry payments (Open Payments)
- 2024$18.84 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $18.84 | 1 |
What the 2024 payments were for
- Food and Beverage$18.84 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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