Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MONIR ADEL TAHA FNP-C
NPI 1194662304
Nurse Practitioner - Family in Lodi, CA

Active since May 04, 2026PECOS EnrolledAccepts Medicare Assignment
2782 PERSIMMON ST, LODI, CA 95242(559) 393-7924 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2026, May 4, 2026 (2 updates tracked since 2026).

About Monir Adel Taha Fnp-c NPPES

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

MONIR ADEL TAHA FNP-C (NPI 1194662304) is an individual family provider in Lodi, California, licensed in California (95040328) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1194662304
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMONIR ADEL TAHACredential: FNP-C
Location Address2782 PERSIMMON STLodi, CA 95242-9379
Mailing Address415 E Harding Way Ste IStockton, CA 95204-6118 · (559) 393-7924
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 4, 2026
Last NPPES UpdateOctober 3, 20262 updates tracked since enumeration
NPPES CertifiedOctober 3, 2026
✔ NPI 1194662304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95040328
2782 PERSIMMON ST, Lodi, CA 95242

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

Monir Adel Taha Fnp-c 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 ID5395204374
PECOS Enrollment IDI20260829000593
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 Reassignment

Medicare enrollment records show Monir Taha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
2001 MCHENRY AVE STE L
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group

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 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Monir Taha's NPI number?

The NPI number for Monir Taha is 1194662304. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Monir Taha located?

Monir Taha practices at 2782 Persimmon St, Lodi, CA 95242. The listed phone number is (559) 393-7924.

What is Monir Taha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monir Taha enrolled in Medicare?

Yes. Monir Taha 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 organization bills Medicare for Monir Taha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monir Taha reassigns Medicare benefits to Abidali Professional Medical Inc (Modesto, CA). The 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 Monir Taha'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 Monir Taha was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.