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SUTTER BAY MEDICAL FOUNDATION
NPI 1104067115
Clinic/Center - Ambulatory Surgical in Palo Alto, CA

Active since March 20, 2009
795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-1832 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2026, Jun 12, 2024, Nov 9, 2016 (3 updates tracked since 2016).

About Sutter Bay Medical Foundation NPPES

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

SUTTER BAY MEDICAL FOUNDATION (NPI 1104067115), doing business as Palo Alto Medical Foundation, is a healthcare organization registered as an ambulatory surgical in Palo Alto, California and active in the NPI registry since March 2009. The organization lists Kristin Keller, Sr. Director, Planning And Alignmen, as its authorized official.

NPPES Registry Identity

NPI1104067115
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUTTER BAY MEDICAL FOUNDATION
Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Phone(650) 853-1832
Organization SubpartNo
Authorized OfficialKristin KellerSr. Director, Planning And Alignmen · (650) 934-7000
Enumeration DateMarch 20, 2009
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1104067115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
795 EL CAMINO REAL, Palo Alto, CA 94301
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Other Names 2

Doing Business AsPalo Alto Medical Foundation
Former Legal Business NamePalo Alto Medical Foundation For Health Care, Research & Education

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sutter Bay Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

391

Medicare enrollment records show 391 clinicians reassign Medicare billing to Sutter Bay Medical Foundation, which bills Medicare for the services they deliver. Of these, 76 practice at this address and 188 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Anesthesiology80
Obstetrics/Gynecology34
Ophthalmology28
Nurse Practitioner26
Gastroenterology25
General Surgery25
Podiatry21
Orthopedic Surgery19
37 other specialties133

Nearest to this location (20)

See all 391
Whitney Chiao, MD
Otolaryngology
NPI 1316500101
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2952
✔ PECOS✔ Accepts MedicareSame address
Cornel Chiu, MD
Anesthesiology
NPI 1013477645
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 614-3253
✔ PECOS✔ Accepts MedicareSame address
Sarah Eppley, MD
Ophthalmology
NPI 1639706773
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2974
✔ PECOS✔ Accepts MedicareSame address
Vishal Hegde, MD
Orthopedic Surgery
NPI 1134563331
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-3355
✔ PECOSSame address
Ruby Koshy, M.D.
Neurology
NPI 1578741369
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2975
✔ PECOS✔ Accepts MedicareSame address
Debbie Kuo, M.D.
Ophthalmology
NPI 1417222050
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2974
✔ PECOS✔ Accepts MedicareSame address
Mythili Pathipati, MD
Gastroenterology
NPI 1306336490
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2972
✔ PECOS✔ Accepts MedicareSame address
Michael Wang, FNP
Nurse Practitioner
NPI 1699326108
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2943
✔ PECOS✔ Accepts MedicareSame address
Paul Eckinger, MD
Anesthesiology
NPI 1275609547
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2894
✔ PECOS✔ Accepts MedicareSame address
Frank Fazzolari, MD
Gastroenterology
NPI 1043394893
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Andrew Haskell, MD
Sports Medicine
NPI 1851300552
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Roy Hong
Plastic and Reconstructive Surgery
NPI 1407967029
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Beemen Khalil, MD
General Surgery
NPI 1427296110
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Noman Khan, MD
Orthopedic Surgery
NPI 1467516062
795 EL CAMINO REAL
Palo Alto, CA 94301
(209) 603-8524
✔ PECOS✔ Accepts MedicareSame address
Than Krisdakumtorn, DPM
Podiatry
NPI 1487765863
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 330-4529
✔ PECOS✔ Accepts MedicareSame address
Keith Lee, MD
Urology
NPI 1114036142
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Ogoegbunam Agubuzu, M.D.
Physical Medicine and Rehabilitation
NPI 1598102519
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 853-2990
✔ PECOS✔ Accepts MedicareSame address
Christine Ching, M D
Surgical Oncology
NPI 1790994572
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Andrew Gutow, MD
Hand Surgery
NPI 1780752873
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
Kirsten Vin Christian, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1598838633
795 EL CAMINO REAL
Palo Alto, CA 94301
(650) 321-4121
✔ PECOS✔ Accepts MedicareSame address
See all 391 clinicians

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 36

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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
7,460 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
1,050 services1,050 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
847 services548 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
671 services670 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
313 services306 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
130 services130 patients

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 Sutter Bay Medical Foundation's NPI number?

The NPI number for Sutter Bay Medical Foundation is 1104067115. It was assigned to this organization in the NPPES registry on March 20, 2009. The provider is doing business as Palo Alto Medical Foundation. The provider was formerly known as Palo Alto Medical Foundation for Health Care, Research & Education.

Where is Sutter Bay Medical Foundation located?

Sutter Bay Medical Foundation is located at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-1832.

What is Sutter Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Sutter Bay Medical Foundation enrolled in Medicare?

Yes. Sutter Bay Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sutter Bay Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 391 clinicians in 45 Medicare specialties reassign their Medicare billing to Sutter Bay Medical Foundation. A 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 the clinician's services. The largest specialties are Anesthesiology (80), Obstetrics/Gynecology (34) and Ophthalmology (28). Of these, 76 practice at this address and 188 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sutter Bay Medical Foundation was last updated on March 18, 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.