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

Q: 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.

Q: What is Ashmi Ullal'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 Ashmi Ullal was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: October 18, 2026.

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

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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

Phone(707) 523-7025

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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Ashmi Ullal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Foundation

0.4 mi

Internal Medicine

500 DOYLE PARK DR, SUITE 303
Santa Rosa, CA 95405

Reassigned Medicare billing, California enrollment
1,699 clinicians in this Medicare group

NPI 1740584473 (707) 303-8300

Permanente Medical Group Inc

33 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Regents Univ Of California Ucsf

49 mi

Internal Medicine

505 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
339 clinicians in this Medicare group

NPI 1124439807 (415) 476-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. WILLIAM ARNOLD COMBS M.D.

Otolaryngology