DR. NIV E DECALO M.D.
NPI 1053511667
Radiology - Diagnostic Radiology in San Jose, CA

Active since July 21, 2007PECOS EnrolledAccepts Medicare Assignment
99.94/100
CMS Quality Rating
225 N JACKSON AVE, SAN JOSE, CA 95116(408) 259-5000 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Niv E Decalo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIV E DECALO M.D. (NPI 1053511667) is an individual diagnostic radiology provider in San Jose, California, licensed in California (A120987) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Hartford, and is a graduate of Tufts University School Of Medicine (2005).

NPPES Registry Identity

NPI1053511667
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NIV E DECALOCredential: M.D.
Location Address225 N JACKSON AVESan Jose, CA 95116
Mailing Address250 Cherry Ln Ste 116Manteca, CA 95337-4398 · (209) 647-2184 · Fax (209) 647-4684
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2005
Enumeration DateJuly 21, 2007
Last NPPES UpdateMarch 29, 2019
NPI 1053511667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A120987
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
225 N JACKSON AVE, San Jose, CA 95116

Secondary Practice Location 1

Location 1111 Founders Plz, Suite 400East Hartford, CT 06108-3212 · Phone (860) 289-3375 · Fax (860) 783-5733

Other Identifiers 1

Medicaid1053511667CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Niv E Decalo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294921888
PECOS Enrollment IDI20130307000371, I20250520001153
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 53

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,259 services1,080 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
372 services359 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
209 services205 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
187 services181 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
167 services163 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
154 services149 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.25
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Critical Care Medicine)
225 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Emergency Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
225 N JACKSON AVE, PHARMACY DEPARTMENT
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niv Decalo's NPI number?

The NPI number for Niv Decalo is 1053511667. It was assigned to this individual provider in the NPPES registry on July 21, 2007.

Where is Niv Decalo located?

Niv Decalo practices at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 259-5000.

What is Niv Decalo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Niv Decalo enrolled in Medicare?

Yes. Niv Decalo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Niv Decalo was last updated on March 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.