PLEASANTON MEDICAL GROUP
NPI 1174618219
Internal Medicine in Pleasanton, CA
About Pleasanton Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLEASANTON MEDICAL GROUP (NPI 1174618219) is a healthcare organization registered as an internal medicine in Pleasanton, California and active in the NPI registry since October 2006. The organization lists Iqbal Inayat Omarali, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pleasanton Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pleasanton Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pleasanton Medical Group's NPI number?
The NPI number for Pleasanton Medical Group is 1174618219. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is Pleasanton Medical Group located?
Pleasanton Medical Group is located at 5924 Stoneridge Dr Ste 103, Pleasanton, CA 94588. The listed phone number is (925) 417-7505.
What is Pleasanton Medical Group's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pleasanton Medical Group enrolled in Medicare?
Yes. Pleasanton Medical Group is registered in the Medicare PECOS enrollment system.
When is Pleasanton Medical Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pleasanton Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pleasanton Medical Group, in Cardiovascular Disease (Cardiology) and Internal Medicine. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pleasanton Medical Group was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Pleasanton Medical Group · NPI 1174618219
Internal Medicine organization in Pleasanton, California. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1174618219 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Iqbal Omarali, PRESIDENT
## Practice location
- **Address:** 5924 STONERIDGE DR STE 103, Pleasanton, CA 94588-5400
- **Phone:** (925) 417-7505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174618219) · Data from the CMS NPPES public registry.