JEREMY NUDELL MD
NPI 1104385483
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 17, 2019PECOS EnrolledAccepts Medicare Assignment
2425 GEARY BLVD, SAN FRANCISCO, CA 94115(415) 833-2000 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Mar 17, 2019 (2 updates tracked since 2019).

About Jeremy Nudell Md NPPES

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

JEREMY NUDELL MD (NPI 1104385483) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2019).

NPPES Registry Identity

NPI1104385483
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY NUDELLCredential: MD
Location Address2425 GEARY BLVDSan Francisco, CA 94115-3358
Mailing Address2425 Geary BlvdSan Francisco, CA 94115-3358
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2019
Enumeration DateMarch 17, 2019
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPI 1104385483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2425 GEARY BLVD, San Francisco, CA 94115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeremy Nudell Md 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 ID4587072905
PECOS Enrollment IDI20240729004343
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.

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.

Student in an Organized Health Care Education/Training Program
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Student in an Organized Health Care Education/Training Program
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Student in an Organized Health Care Education/Training Program
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Pharmacist
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Social Worker
2425 GEARY BLVD, COORDINATION OF CARE SERVICES DEPARTMENT
SAN FRANCISCO, CA 94115
Student in an Organized Health Care Education/Training Program
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Pharmacist
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Pharmacy (Institutional Pharmacy)
2425 GEARY BLVD
SAN FRANCISCO, CA 94115

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 Jeremy Nudell's NPI number?

The NPI number for Jeremy Nudell is 1104385483. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Jeremy Nudell located?

Jeremy Nudell practices at 2425 Geary Blvd, San Francisco, CA 94115. The listed phone number is (415) 833-2000.

What is Jeremy Nudell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Nudell enrolled in Medicare?

Yes. Jeremy Nudell 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.

When was this NPI record last updated?

The NPPES record for Jeremy Nudell was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.