DR. YUSRA NAZAR HUSSAIN M.D.
NPI 1003951013
Internal Medicine - Geriatric Medicine in Palo Alto, CA
Quality Rating: 75 out of 100 score
NPI Status: Active since February 20, 2007
Contact Information
770 WELCH RD
SUITE # 250
PALO ALTO, CA
ZIP 94304
Phone: (650) 328-1676
Fax: (650) 445-0911
- Individual
- Female
- Years of Experience 26
- Internal Medicine
- Geriatric Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About YUSRA HUSSAIN
This page provides the complete NPI Profile along with additional information for Yusra Hussain, an internist established in Palo Alto, California with a medical specialization in Internal Medicine, focusing in geriatric medicine and more than 26 years of experience. She graduated from Hahnemann University College Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1003951013 assigned on February 2007. The practitioner's primary taxonomy code is 207RG0300X with license number A78910 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1003951013
- Provider Name
- DR. YUSRA NAZAR HUSSAIN M.D.
- Other Name
- DR. YUSSRA NAZAR HUSSEN MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 770 WELCH RD SUITE # 250 PALO ALTO, CA 94304
- Location Phone
- (650) 328-1676
- Location Fax
- (650) 445-0911
- Mailing Address
- 770 WELCH RD SUITE # 250 PALO ALTO, CA 94304
- Mailing Phone
- (650) 328-1676
- Mailing Fax
- (650) 445-0911
- Medical School Name
- HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 2000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-20-2007
- Last Update Date
- 06-26-2015
- Code Navigator
An internist like Yusra Hussain is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A78910
- License State
- CA
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA118788 | OTHER (01) | CA | MEDICARE PTAN |
| I03276 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
Yusra Hussain is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Yusra Hussain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5294722435
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040428001507
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE000N)
Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)
2 DME suppliers used 31 Medicare Claims 31 Services Paid
DME-Other DME (DE000N)
Commode chair, mobile or stationary, with fixed arms (HCPCS:E0163)
2 DME suppliers used 41 Medicare Claims 41 Services Paid
DME-Other DME (DE000N)
Commode chair, mobile or stationary, with detachable arms (HCPCS:E0165)
2 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Other DME (DE000N)
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty (HCPCS:E0181)
2 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
3 DME suppliers used 43 Medicare Claims 43 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress (HCPCS:E0295)
2 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Other DME (DE000N)
Transport chair, adult size, patient weight capacity up to and including 300 pounds (HCPCS:E1038)
1 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Wheelchairs (DD021N)
General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)
4 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Wheelchairs (DD021N)
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)
4 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
3 DME suppliers used 38 Medicare Claims 38 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
3 DME suppliers used 58 Medicare Claims 58 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
2 DME suppliers used 15 Medicare Claims 15 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Adm sarscov2 50 mcg/.5 mlbst
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Coronavirus vaccine 13
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Fee covid-19 vac 13 res
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Influenza vaccine split virus, preservative free
Initial nursing facility visit per day, typically 35 minutes
Initial nursing facility visit per day, typically 45 minutes
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Sarscov2 vac 50mcg/0.5ml im
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use
Telephone medical discussion with physician, 11-20 minutes
Adm sarscov2 50 mcg/.5 mlbst is a COVID-19 vaccine administration. In this process, a 50 microgram dose of the vaccine is given in a half milliliter volume. This aids your body in building a defense against the virus.
This service was performed 26 times for 26 patientsThe administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 37 times for 37 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 45 times for 45 patientsThe "Coronavirus Vaccine 13" isn't a recognized term. However, COVID-19 vaccines help protect against the virus by triggering an immune response. They teach your body how to fight the virus if exposed, reducing the risk of severe illness. It's crucial for public health and safety.
This service was performed 26 times for 26 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 159 times for 83 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 193 times for 93 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 133 times for 87 patientsThe "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
This service was performed 25 times for 25 patientsA follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 47 times for 41 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 110 times for 73 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 59 times for 44 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 37 times for 37 patientsAn initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
This service was performed 18 times for 18 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 31 times for 31 patientsThis is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
This service was performed 41 times for 38 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 13 times for 13 patientsThe Sarscov2 vac 50mcg/0.5ml im is a COVID-19 vaccine administered through an intramuscular injection. It helps your body develop immunity to the virus. It's a crucial tool in controlling the spread of COVID-19.
This service was performed 19 times for 19 patientsThe COVID-19 mRNA vaccine is a shot that boosts your body's natural defenses against the virus. It contains a small piece of the virus's spike protein, which triggers your immune system to build a response. It's free of preservatives, given in a 100 mcg dose, and is injected into a muscle.
This service was performed 11 times for 11 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $51.51 for a new patient copayment and $30.44 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 94304 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $206.04
- Minimum New Patient Price $70.37
- Maximum New Patient Price $206.04
- Average New Patient Copayment $51.51
- Minimum New Patient Copayment $17.59
- Maximum New Patient Copayment $51.51
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $121.77
- Minimum Established Patient Price $23.96
- Maximum Established Patient Price $169.6
- Average Established Patient Copayment $30.44
- Minimum Established Patient Copayment $5.99
- Maximum Established Patient Copayment $42.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 4% | 94 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Care coordination agreements that promote improvements in patient tracking across settings | Yes | N/A |
| Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care. | ||
| Colorectal Cancer Screening | 6% | 151 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Dementia: Cognitive Assessment | 11% | 82 |
| Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period | ||
| Diabetes: Eye Exam | 2% | 41 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Diabetes: Medical Attention for Nephropathy | 25% | 40 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| e-Prescribing | 94% | 1472 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Falls: Screening for Future Fall Risk | 8% | 422 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Health Information Exchange | 12% | 58 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Patient-Specific Education | 12% | 154 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 16% | 416 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 33% | 153 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Influenza Immunization | 34% | 211 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide Patient Access | 63% | 154 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 36% | 154 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 9 | 5 | 1 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 18 | 5 | 2 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 8 + 5 + 2 + 0 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1003951013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225041502 | PALO ALTO ENDOSCOPY CENTER LP Organization | Clinic/Center (Ambulatory Surgical) | 770 WELCH RD SUITE 380 PALO ATLO, CA 94304 (650) 325-0391 |
| 1073629390 | JACK H KOUMJIAN DDS Individual | Dentist (Prosthodontics) | 770 WELCH RD STE 280 PALO ALTO, CA 94304 (650) 347-3426 |
| 1629133350 | DR. STEPHEN ALFRED SCHENDEL M.D., D.D.S. Individual | Plastic Surgery | 770 WELCH RD SUITE 400 PALO ALTO, CA 94304 (650) 723-5824 |
| 1033353594 | DR. JENNIFER LEE HWANG DUDA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 770 WELCH RD SUITE 261 PALO ALTO, CA 94304 (650) 497-8953 |
| 1700220647 | ANTHONY BERTRAND Individual | Student in an Organized Health Care Education/Training Program | 770 WELCH RD PALO ALTO, CA 94304 (650) 723-5824 |
| 1750630679 | LISA GALLAGHER PNP-BC Individual | Nurse Practitioner (Pediatrics) | 770 WELCH RD SUITE 100 PALO ALTO, CA 94304 (650) 498-5480 |
| 1124448790 | DR. SHAWN MOSHREFI M.D. Individual | Student in an Organized Health Care Education/Training Program | 770 WELCH RD DIV OF PLASTIC SURGERY STE 400 PALO ALTO, CA 94304 (650) 723-5824 |
| 1558419200 | MS. ANN M. BRENNAN NP Individual | Nurse Practitioner (Pediatrics) | 770 WELCH RD PALO ALTO, CA 94304 (650) 498-2568 |
| 1013029586 | SHELLEY AGGARWAL MD Individual | Pediatrics (Adolescent Medicine) | 770 WELCH RD DIVISION OF ADOLESCENT MEDICINE PALO ALTO, CA 94304 (650) 736-9557 |
| 1811176100 | MS. LAURA MADALENA MONTAFI NP Individual | Nurse Practitioner (Pediatrics) | 770 WELCH RD 3RD FLOOR PALO ALTO, CA 94304 (650) 724-4788 |
| 1629030440 | MRS. MARY JANE JERRY AJLOUNY CNM Individual | Advanced Practice Midwife | 770 WELCH RD PALO ALTO, CA 94304 (650) 497-8000 |
| 1144753898 | ALEXANDER LI Individual | Student in an Organized Health Care Education/Training Program | 770 WELCH RD ATTN: ALEXANDER LI, PLASTIC SURGERY PALO ALTO, CA 94304 (650) 723-5824 |
| 1184151573 | LUCILE PACKARD CHILDREN'S HOSPITAL Organization | Clinic/Center | 770 WELCH RD PALO ALTO, CA 94304 (650) 721-2589 |
| 1669810479 | JEFF J KIM Individual | Surgery (Plastic and Reconstructive Surgery) | 770 WELCH RD PALO ALTO, CA 94304 (650) 723-7001 |
| 1417213802 | BRIAN CRAIG PRIDGEN Individual | Plastic Surgery | 770 WELCH RD SUITE 400 PALO ALTO, CA 94304 (111) 111-1111 |
| 1194796375 | ALI SALIM M.D. Individual | Plastic Surgery | 770 WELCH RD SUITE 400 - STANFORD PLASTIC SURGERY PALO ALTO, CA 94304 (650) 723-5824 |
| 1730693037 | EMILY CUMMINGS HARDY Individual | Midwife | 770 WELCH RD PALO ALTO, CA 94304 (650) 723-5000 |
| 1750469896 | OSCAR HO MD Individual | Plastic Surgery | 770 WELCH RD SUITE 400 PALO ALTO, CA 94304 (650) 725-6605 |
| 1770593501 | DR. VINCENT RODNEY HENTZ MD Individual | Plastic Surgery (Surgery of the Hand) | 770 WELCH RD SUITE 400 PALO ALTO, CA 94304 (650) 723-6796 |
| 1033559307 | CARMEN AGUILAR MANDAC NP Individual | Nurse Practitioner | 770 WELCH RD SUITE 100 PALO ALTO, CA 94304 (650) 725-8771 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003951013, enumerated in the NPI registry as an "individual" on February 20, 2007
The provider is located at 770 Welch Rd Suite # 250 Palo Alto, Ca 94304 and the phone number is (650) 328-1676
The provider's speciality is Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider has more than 26 years of experience. She graduated from Hahnemann University College Of Medicine in 2000.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $206.04 with an average copayment of $51.51 for new patient appointments. Established patients should expect a typical charge of $121.77 and an average copayment of 30.44. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Adm sarscov2 50 mcg/.5 mlbst, Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Coronavirus vaccine 13, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Fee covid-19 vac 13 res, Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Influenza vaccine split virus, preservative free, Initial nursing facility visit per day, typically 35 minutes, Initial nursing facility visit per day, typically 45 minutes, Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Sarscov2 vac 50mcg/0.5ml im, Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use and Telephone medical discussion with physician, 11-20 minutes.
This NPI record was last updated on February 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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