PRITTY MADHU DWIVEDY DO
NPI 1144915653
Family Medicine in San Mateo, CA

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
1100 PARK PL STE 100, SAN MATEO, CA 94403(415) 502-8950 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Apr 10, 2023 (2 updates tracked since 2023).

About Pritty Madhu Dwivedy Do NPPES

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

PRITTY MADHU DWIVEDY DO (NPI 1144915653) is an individual family medicine provider in San Mateo, California, licensed in California (A25271) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144915653
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRITTY MADHU DWIVEDYCredential: DO
Location Address1100 PARK PL STE 100San Mateo, CA 94403-7119
Mailing Address10510 Jefferson Ave Ste ANewport News, VA 23601-3102 · (757) 594-3800 · Fax (757) 591-9021
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 10, 2023
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1144915653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A25271 Licensed in VA · 0102209215
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 PARK PL STE 100, San Mateo, CA 94403

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

Pritty Madhu Dwivedy Do 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 ID6800256884
PECOS Enrollment IDI20250730001825, I20250731002489
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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 5

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

Family Medicine
1100 PARK PL STE 100
SAN MATEO, CA 94403
Family Medicine
1100 PARK PL STE 100
SAN MATEO, CA 94403
Family Medicine
1100 PARK PL STE 100
SAN MATEO, CA 94403
Pediatrics
1100 PARK PL STE 100
SAN MATEO, CA 94403
Physical Therapist
1100 PARK PL STE 100
SAN MATEO, CA 94403

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 Pritty Dwivedy's NPI number?

The NPI number for Pritty Dwivedy is 1144915653. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Pritty Dwivedy located?

Pritty Dwivedy practices at 1100 Park Pl Ste 100, San Mateo, CA 94403. The listed phone number is (415) 502-8950.

What is Pritty Dwivedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pritty Dwivedy enrolled in Medicare?

Yes. Pritty Dwivedy 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 Pritty Dwivedy was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.