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DR. JOSE MARIO D CUYEGKENG FONTANILLA M.D.
NPI 1164528469
Internal Medicine - Infectious Disease in Roseville, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-5655 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Dec 15, 2021 (2 updates tracked since 2021).

About Dr. Jose Mario D Cuyegkeng Fontanilla M.d. NPPES

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

DR. JOSE MARIO D CUYEGKENG FONTANILLA M.D. (NPI 1164528469) is an individual infectious disease provider in Roseville, California, licensed in West Virginia (23108) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164528469
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JOSE MARIO D CUYEGKENG FONTANILLACredential: M.D.
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149 · (707) 393-4704
Phone(916) 784-5655
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1164528469 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 WV · 23108
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.
1600 EUREKA RD, Roseville, CA 95661
Open in Google Maps ↗

Other Identifiers 1

Medicaid3810013316WV

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

Dr. Jose Mario D Cuyegkeng Fontanilla 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 ID4688733942
PECOS Enrollment IDI20130328000384
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 95661 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 20

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

DR. VESNA IVANCIC COCHELL MD
Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
LYNN TUYET NGUYEN PHARM.D
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MR. BRYCE PHILLIP CARTWRIGHT PHYSICAL THERAPIST
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4954
QUAN T. NGUYEN MD
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
JAMES H. HEYKES MD
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MS. LINDA ROSE BROWN NP
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Placer County (916) 784-5003
SCOTT W. ADAMS MD
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
CAROL LYNN SCHULZ PHARM.D.
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4184

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 Jose Mario D Fontanilla's NPI number?

The NPI number for Jose Mario D Fontanilla is 1164528469. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Jose Mario D Fontanilla located?

Jose Mario D Fontanilla practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-5655.

What is Jose Mario D Fontanilla's specialty?

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

Is Jose Mario D Fontanilla enrolled in Medicare?

Yes. Jose Mario D Fontanilla 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 Jose Mario D Fontanilla was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.