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DR. EGHOSA ISA DPM
NPI 1093197550
Podiatrist - Sports Medicine in Palo Alto, CA

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2943 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 17, 2021, Oct 2, 2018, Sep 28, 2018 (3 updates tracked since 2018).

About Dr. Eghosa Isa Dpm NPPES

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

DR. EGHOSA ISA DPM (NPI 1093197550) is an individual sports medicine provider in Palo Alto, California, licensed in California (E5435) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2015).

NPPES Registry Identity

NPI1093197550
Entity TypeIndividualFemale
Primary Taxonomy213ES0000X
Provider Legal NameDR. EGHOSA ISACredential: DPM
Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302
Mailing Address795 El Camino RealPalo Alto, CA 94301-2302
Phone(650) 853-2943
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
✔ NPI 1093197550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License✔ Licensed in CA · E5435
795 EL CAMINO REAL, Palo Alto, CA 94301
Open in Google Maps ↗

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

Dr. Eghosa Isa Dpm 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 ID9537417878
PECOS Enrollment IDI20180802003645
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

2

Medicare enrollment records show Eghosa Isa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation
Same address
Ambulatory Surgical
795 EL CAMINO REAL
Palo Alto, CA 94301
NPI 1104067115 (650) 853-1832
Permanente Medical Group Inc
4.8 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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

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.

DR. SHIRA BETH LIPTON M.D.
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
DR. KATHERINE A KWIATKOWSKI MD
Psychiatry & Neurology (Psychiatry)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2904
MS. HEATHER HUGHES ROSE PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (707) 280-2417
CRYSTAL TSAI MS, RD
Dietitian, Registered
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2961
RUTH ROTHMAN MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-4865
WINONA TAN M.D.
Obstetrics & Gynecology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2917
SHERRY HUANG MD
Family Medicine
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2984
DR. JULIA MCKENZIE GABHART M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

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 Eghosa Isa's NPI number?

The NPI number for Eghosa Isa is 1093197550. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Eghosa Isa located?

Eghosa Isa practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-2943.

What is Eghosa Isa's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Is Eghosa Isa enrolled in Medicare?

Yes. Eghosa Isa 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 organizations bill Medicare for Eghosa Isa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eghosa Isa reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Palo Alto, CA) and Permanente Medical Group Inc (Redwood City, CA). Each 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 Eghosa Isa'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 Eghosa Isa was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.