DR. THERESE TROLAN M.D.
NPI 1073616025
Pediatrics in Capitola, CA

Q: What is Therese Trolan's NPI number?

The NPI number for Therese Trolan is 1073616025. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Therese Trolan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: Is Therese Trolan enrolled in Medicare?

No. Therese Trolan has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Therese Trolan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since September 06, 2006Opted out of Medicare · through Mar 15, 2028

1820 41ST AVE STE D, CAPITOLA, CA 95010(831) 476-3000(831) 476-9009 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Therese Trolan M.d. NPPES

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

DR. THERESE TROLAN M.D. (NPI 1073616025) is an individual pediatrics provider in Capitola, California, licensed in California (G61013) and active in the NPI registry since September 2006. She has opted out of Medicare through March 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073616025

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. THERESE TROLANCredential: M.D.

Location Address1820 41ST AVE STE DCapitola, CA 95010-2516

Mailing Address1595 Soquel Dr, Ste 330Santa Cruz, CA 95065-1719 · (831) 465-7761 · Fax (831) 475-1156

Phone(831) 476-3000

Fax(831) 476-9009

Sole ProprietorNo

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1073616025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G61013

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1820 41ST AVE STE D, Capitola, CA 95010

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Other Identifiers 2

Other00G610130CA · Medi-cal Id Number

Medicare UPINF35188CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Therese Trolan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2016 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2016

Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95010 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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.

Other Providers at the Same Location NPPES 9

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

RUTU DIGANTKUMAR SHAH MD

Pediatrics