NICOLE MATOUK
NPI 1073250874
Family Medicine in Sunnyvale, CA

Q: What is Nicole Matouk's NPI number?

The NPI number for Nicole Matouk is 1073250874. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Q: What is Nicole Matouk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Matouk was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2022PECOS EnrolledAccepts Medicare Assignment

201 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086(408) 730-4256 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, May 13, 2022 (2 updates tracked since 2022).

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About Nicole Matouk NPPES

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

NICOLE MATOUK (NPI 1073250874) is an individual family medicine provider in Sunnyvale, California, licensed in California (20A21836) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073250874

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE MATOUK

Location Address201 OLD SAN FRANCISCO RDSunnyvale, CA 94086-6385

Mailing AddressPo Box 276950Sacramento, CA 95827-6950

Phone(408) 730-4256

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 13, 2022

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1073250874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A21836

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 OLD SAN FRANCISCO RD, Sunnyvale, CA 94086

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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

Nicole Matouk 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 ID1456853795

PECOS Enrollment IDI20250905004026

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94086 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

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

TIFFANY KONSUM FONG

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