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PATTY KU M.D.
NPI 1205063054
Pediatrics in San Fernando, CA

Active since June 19, 2009PECOS Enrolled
1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 898-1388(818) 270-9585 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patty Ku M.d. NPPES

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

PATTY KU M.D. (NPI 1205063054) is an individual pediatrics provider in San Fernando, California, licensed in California (A114176) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205063054
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePATTY KUCredential: M.D.
Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 270-9585
Phone(818) 898-1388
Fax(818) 270-9585
Sole ProprietorNo
Enumeration DateJune 19, 2009
Last NPPES UpdateOctober 21, 2013
✔ NPI 1205063054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A114176
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.
1172 N MACLAY AVE, San Fernando, CA 91340
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patty Ku M.d. 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 Reassignment

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

Sutter Bay Medical Foundation
302 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121

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 91340 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

VICTORIA CURTIN LCSW
Social Worker (Clinical)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
LINDA MARIE AMERICA NP
Registered Nurse
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
NORTHEAST VALLEY HEALTH CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
GLORIA MONSALVE M.D
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
MICHAEL SINCLAIR MOORE LMFT
Marriage & Family Therapist
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 765-8656
ERIC ANDREW WILLIAMS FNP
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
DR. PAYAL JAYENDRA PATEL D.D.S.
Dentist (General Practice)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 898-1388
SHARMEELA ADVANI MD
Obstetrics & Gynecology
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 270-9505

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 Patty Ku's NPI number?

The NPI number for Patty Ku is 1205063054. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Patty Ku located?

Patty Ku practices at 1172 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 898-1388.

What is Patty Ku's specialty?

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

Is Patty Ku enrolled in Medicare?

Yes. Patty Ku is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patty Ku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patty Ku reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, 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 Patty Ku'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 Patty Ku was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.