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PRACHI SANJEEV NENE M.D.
NPI 1124481619
Internal Medicine - Gastroenterology in Burlingame, CA

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
1501 TROUSDALE DR STE 116118, BURLINGAME, CA 94010(650) 777-4400 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2022, Apr 1, 2016 (2 updates tracked since 2016).

About Prachi Sanjeev Nene M.d. NPPES

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

PRACHI SANJEEV NENE M.D. (NPI 1124481619) is an individual gastroenterology provider in Burlingame, California, licensed in California (A154558) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124481619
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePRACHI SANJEEV NENECredential: M.D.
Location Address1501 TROUSDALE DR STE 116118Burlingame, CA 94010-4506
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 777-4400 · Fax (650) 777-4405
Phone(650) 777-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1124481619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A154558
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1501 TROUSDALE DR STE 116118, Burlingame, CA 94010
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Other Identifiers 1

MedicaidPN3232267556CA

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

Prachi Sanjeev Nene M.d. 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 ID2668720756
PECOS Enrollment IDI20220727000906
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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services77 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.
74 services74 patients
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.
61 services44 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.
54 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 3

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

LISA M CARTER PA-C
Physician Assistant
1501 TROUSDALE DR STE 116118
BURLINGAME, CA 94010
San Mateo County (650) 652-8282
SARAH ELIZABETH ADLER-CHAI NP
Nurse Practitioner
1501 TROUSDALE DR STE 116118
BURLINGAME, CA 94010
San Mateo County (650) 777-4400
DR. SARAH MICHELLE WARTMAN MD
Surgery (Vascular Surgery)
1501 TROUSDALE DR STE 116118
BURLINGAME, CA 94010
San Mateo County (650) 652-8787

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 Prachi Nene's NPI number?

The NPI number for Prachi Nene is 1124481619. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Prachi Nene located?

Prachi Nene practices at 1501 Trousdale Dr Ste 116118, Burlingame, CA 94010. The listed phone number is (650) 777-4400.

What is Prachi Nene's specialty?

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

Is Prachi Nene enrolled in Medicare?

Yes. Prachi Nene 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 Prachi Nene was last updated on July 15, 2022. 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.