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DR. THOMAS P PRINDIVILLE M.D.
NPI 1104879923
Internal Medicine - Gastroenterology in Sacramento, CA

Active since May 19, 2006PECOS Enrolled
4150 V STREET, STE 3500, SACRAMENTO, CA 95817(916) 734-7224 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas P Prindiville M.d. NPPES

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

DR. THOMAS P PRINDIVILLE M.D. (NPI 1104879923) is an individual gastroenterology provider in Sacramento, California, licensed in California (C40251) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104879923
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. THOMAS P PRINDIVILLECredential: M.D.
Location Address4150 V STREET, STE 3500Sacramento, CA 95817-1460
Mailing Address4150 V St, Ste 3500Sacramento, CA 95817-1460 · (916) 734-7224 · Fax (916) 734-7908
Phone(916) 734-7224
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1104879923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · C40251
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4150 V STREET, STE 3500, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas P Prindiville M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Thomas Prindiville reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Medical Clinic
94 mi
Specialist
1580 CREEKSIDE DR STE 220
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1578741401 (916) 983-4444
Marshall Medical Center
96 mi
Family Medicine
5137 GOLDEN FOOTHILL PKWY, SUITE 120
El Dorado Hills, CA 95762
  • Reassigned Medicare billing, California enrollment
  • 152 clinicians in this Medicare group
NPI 1972657559 (916) 399-8010

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

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.

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259
This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES

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

DR. MARK ZERN
Specialist
4150 V STREET, STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-7224

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 Thomas Prindiville's NPI number?

The NPI number for Thomas Prindiville is 1104879923. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Thomas Prindiville located?

Thomas Prindiville practices at 4150 V Street, Ste 3500, Sacramento, CA 95817. The listed phone number is (916) 734-7224.

What is Thomas Prindiville's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Prindiville enrolled in Medicare?

Yes. Thomas Prindiville is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Prindiville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Prindiville reassigns Medicare benefits to 2 organizations: Gastroenterology Medical Clinic (Folsom, CA) and Marshall Medical Center (El Dorado Hills, 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 Thomas Prindiville'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 Thomas Prindiville was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.