ASHMI SHYAM ULLAL
NPI 1073803722
Family Medicine in Santa Rosa, CA

Active since April 14, 2011PECOS Enrolled
1701 4TH ST STE 120, SANTA ROSA, CA 95404(707) 523-7025 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, Nov 11, 2016 (2 updates tracked since 2016).

About Ashmi Shyam Ullal NPPES

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

ASHMI SHYAM ULLAL (NPI 1073803722) is an individual family medicine provider in Santa Rosa, California, licensed in California (A133351) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rohnert Park, and is a graduate of University Of California, Davis School Of Medicine (2013).

NPPES Registry Identity

NPI1073803722
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameASHMI SHYAM ULLAL
Location Address1701 4TH ST STE 120Santa Rosa, CA 95404-3661
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2013
Enumeration DateApril 14, 2011
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1073803722 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 · A133351
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.
1701 4TH ST STE 120, Santa Rosa, CA 95404

Secondary Practice Location 1

Location 15900 State Farm DrRohnert Park, CA 94928-2149 · Phone (707) 577-7500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ashmi Shyam Ullal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335442995
PECOS Enrollment IDI20161205000503
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
411 services191 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
148 services93 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
109 services105 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
85 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$15.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$82.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Audiologist-Hearing Aid Fitter
1701 4TH ST STE 120
SANTA ROSA, CA 95404
Otolaryngology
1701 4TH ST STE 120
SANTA ROSA, CA 95404

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 Ashmi Ullal's NPI number?

The NPI number for Ashmi Ullal is 1073803722. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Ashmi Ullal located?

Ashmi Ullal practices at 1701 4th St Ste 120, Santa Rosa, CA 95404. The listed phone number is (707) 523-7025.

What is Ashmi Ullal's specialty?

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

Is Ashmi Ullal enrolled in Medicare?

Yes. Ashmi Ullal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashmi Ullal was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.