MADALASA BISTA M.D.
NPI 1174966444
Family Medicine in Oceanside, CA

Q: What is Madalasa Bista's NPI number?

The NPI number for Madalasa Bista is 1174966444. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Q: What is Madalasa Bista's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madalasa Bista was last updated on August 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment

4318 MISSION AVE, OCEANSIDE, CA 92057(760) 901-5074 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2019, Jun 22, 2018, Aug 11, 2016 (3 updates tracked since 2016).

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About Madalasa Bista M.d. NPPES

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

MADALASA BISTA M.D. (NPI 1174966444) is an individual family medicine provider in Oceanside, California, licensed in California (A145628) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174966444

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMADALASA BISTACredential: M.D.

Location Address4318 MISSION AVEOceanside, CA 92057

Mailing Address9850 Genesee Ave, Ste 320La Jolla, CA 92037-1208 · (858) 554-1212

Phone(760) 901-5074

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 16, 2013

Last NPPES UpdateAugust 19, 20193 updates tracked since enumeration

✔ NPI 1174966444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A145628

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4318 MISSION AVE, Oceanside, CA 92057

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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

Madalasa Bista 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 ID7214164516

PECOS Enrollment IDI20161209000825

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 92057 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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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.

ROSE EDMUND RN

Registered Nurse (Women's Health Care, Ambulatory)