1. Home
  2. Directory
  3. California
  4. Palo Alto
  5. Nurse Practitioner
  6. NPI Profile

MR. MUDDASSIR RIZWAN
NPI 1174971840
Nurse Practitioner in Palo Alto, CA

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2977 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2022, Sep 29, 2021, Oct 1, 2018 (3 updates tracked since 2018).

About Mr. Muddassir Rizwan NPPES

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

MR. MUDDASSIR RIZWAN (NPI 1174971840) is an individual nurse practitioner in Palo Alto, California, licensed in California (NP95017417) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174971840
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MUDDASSIR RIZWAN
Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2977
Phone(650) 853-2977
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 2, 2016
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1174971840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95017417
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
795 EL CAMINO REAL, Palo Alto, CA 94301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Muddassir Rizwan 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 ID2668717950
PECOS Enrollment IDI20211004002254
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 Reassignments

2

Medicare enrollment records show Muddassir Rizwan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fremont Pain Treamtment Center
14 mi
Specialist
656 MOWRY AVE
Fremont, CA 94536
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1083950380 (510) 818-9237
Livwell Healthcare Solutions PC
14 mi
Urgent Care
594 EL CAMINO REAL
Santa Clara, CA 95050
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1215680699 (408) 821-4449

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94301 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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. SHIRA BETH LIPTON M.D.
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
DR. KATHERINE A KWIATKOWSKI MD
Psychiatry & Neurology (Psychiatry)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2904
MS. HEATHER HUGHES ROSE PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (707) 280-2417
CRYSTAL TSAI MS, RD
Dietitian, Registered
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2961
RUTH ROTHMAN MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-4865
WINONA TAN M.D.
Obstetrics & Gynecology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2917
SHERRY HUANG MD
Family Medicine
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2984
DR. JULIA MCKENZIE GABHART M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

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 Muddassir Rizwan's NPI number?

The NPI number for Muddassir Rizwan is 1174971840. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Muddassir Rizwan located?

Muddassir Rizwan practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-2977.

What is Muddassir Rizwan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Muddassir Rizwan enrolled in Medicare?

Yes. Muddassir Rizwan 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.

Which organizations bill Medicare for Muddassir Rizwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muddassir Rizwan reassigns Medicare benefits to 2 organizations: Fremont Pain Treamtment Center (Fremont, CA) and Livwell Healthcare Solutions PC (Santa Clara, CA). Each 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 Muddassir Rizwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Muddassir Rizwan was last updated on January 5, 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.