INDRA DE MD, PHD
NPI 1154372951
Internal Medicine - Infectious Disease in Stockton, CA

Q: What is Indra De's NPI number?

The NPI number for Indra De is 1154372951. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Indra De's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Indra De was last updated on July 10, 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.

Active since May 15, 2006PECOS Enrolled

1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 943-2000 Get Directions Write a Review

NPPES record last updated: July 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2022, Aug 20, 2017 (2 updates tracked since 2017).

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About Indra De Md, Phd NPPES

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

INDRA DE MD, PHD (NPI 1154372951) is an individual infectious disease provider in Stockton, California, licensed in California (C52396) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stockton, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1154372951

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameINDRA DECredential: MD, PHD

Location Address1800 N CALIFORNIA STStockton, CA 95204-6019

Mailing Address3905 Glen Abby CirStockton, CA 95219-1800 · (209) 462-9100 · Fax (209) 462-9101

Phone(209) 943-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateMay 15, 2006

Last NPPES UpdateJuly 10, 20222 updates tracked since enumeration

NPPES CertifiedJuly 10, 2022

✔ NPI 1154372951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in CA · C52396

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1800 N CALIFORNIA ST, Stockton, CA 95204

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Secondary Practice Location 1

Location 1525 W Acacia StStockton, CA 95203-2484 · Phone (209) 944-5550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indra De Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618913856

PECOS Enrollment IDI20070911000963

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 Reassignment

Medicare enrollment records show Indra De reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indra De M.D., Inc.

2.8 mi

Infectious Disease

2333 W MARCH LN STE A1
Stockton, CA 95207

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Indra De MD Inc

NPI 1316147986 (209) 462-9100

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 3

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.

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.

400 services92 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

102 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 20

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

DEEPAK GIR MD

Internal Medicine