JUDITH SHANIKA PELPOLA MD
NPI 1184200198
Pediatrics in San Francisco, CA

Q: What is Judith Pelpola's NPI number?

The NPI number for Judith Pelpola is 1184200198. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Q: What is Judith Pelpola's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Judith Pelpola was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 20, 2021PECOS Enrolled

1975 4TH ST, SAN FRANCISCO, CA 94143(415) 514-4079 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2026, Jan 10, 2025, Mar 20, 2021 (3 updates tracked since 2021).

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About Judith Shanika Pelpola Md NPPES

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

JUDITH SHANIKA PELPOLA MD (NPI 1184200198) is an individual pediatrics provider in San Francisco, California, licensed in California (A195130) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1184200198

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJUDITH SHANIKA PELPOLACredential: MD

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address801 Albany St Dept OfBoston, MA 02119-2560

Phone(415) 514-4079

Sole ProprietorNo

Enumeration DateMarch 20, 2021

Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1184200198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A195130

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1975 4TH ST, San Francisco, CA 94143

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Secondary Practice Location 1

Location 1725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Shanika Pelpola Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Judith Pelpola reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Pediatrics Associates

3.7 mi

Pediatrics

505 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
1,159 clinicians in this Medicare group

NPI 1376614016 (415) 353-2000

University Of California San Francisco

3.7 mi

Surgery

400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
5,645 clinicians in this Medicare group

NPI 1346329380 (415) 353-2161

Ucsf Medical Group Business Services

3.7 mi

Internal Medicine

400 PARNASSUS AVE
San Francisco, CA 94122

Reassigned Medicare billing, California enrollment
5,544 clinicians in this Medicare group

NPI 1477624104 (415) 353-2808

County Of Santa Clara

27 mi

Clinic/Center

2741 MIDDLEFIELD RD
Palo Alto, CA 94306

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1285228080 (408) 885-5000

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 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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. ABBEY CORIN LEA DPT

Physical Therapist