NICOLE MATOUK
NPI 1073250874
Family Medicine in Sunnyvale, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Matouk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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.
Where is Nicole Matouk located?
Nicole Matouk practices at 201 Old San Francisco Rd, Sunnyvale, CA 94086. The listed phone number is (408) 730-4256.
What is Nicole Matouk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nicole Matouk enrolled in Medicare?
Yes. Nicole Matouk 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.
Which organization bills Medicare for Nicole Matouk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Matouk reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Matouk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Matouk was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Matouk · NPI 1073250874
Family Medicine physician in Sunnyvale, California. Individual provider, active in the CMS NPPES registry since May 13, 2022.
## Identity
- **NPI:** 1073250874 (Entity type: Individual)
- **Enumerated:** May 13, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A21836 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 OLD SAN FRANCISCO RD, Sunnyvale, CA 94086-6385
- **Phone:** (408) 730-4256
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073250874) · Data from the CMS NPPES public registry.