DR. NUSHRAT ULLAH M.D.
NPI 1205071222
Internal Medicine in Novato, CA

Q: What is Nushrat Ullah's NPI number?

The NPI number for Nushrat Ullah is 1205071222. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Q: What is Nushrat Ullah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nushrat Ullah was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 04, 2008PECOS EnrolledAccepts Medicare Assignment

101 ROWLAND WAY STE 220, NOVATO, CA 94945(415) 878-7200(415) 369-7916 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Nushrat Ullah M.d. NPPES

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

DR. NUSHRAT ULLAH M.D. (NPI 1205071222) is an individual internal medicine provider in Novato, California, licensed in California (A120589) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2006).

NPPES Registry Identity

NPI1205071222

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. NUSHRAT ULLAHCredential: M.D.

Location Address101 ROWLAND WAY STE 220Novato, CA 94945-5056

Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (415) 878-7200 · Fax (415) 369-7916

Phone(415) 878-7200

Fax(415) 369-7916

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2006

Enumeration DateDecember 4, 2008

Last NPPES UpdateFebruary 27, 2019

✔ NPI 1205071222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · A120589✔ Licensed in NY · 252800

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

101 ROWLAND WAY STE 220, Novato, CA 94945

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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 and accepts Medicare assignment

Dr. Nushrat Ullah 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 ID8729125679

PECOS Enrollment IDI20091026000120, I20120727000340

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 Nushrat Ullah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prima Medical Foundation

3.7 mi

Clinic/Center

4 HAMILTON LANDING, SUITE 100
Novato, CA 94949

Reassigned Medicare billing, California enrollment
111 clinicians in this Medicare group

NPI 1811217946 (415) 884-1840

Marshall Medical Center

89 mi

Family Medicine

5137 GOLDEN FOOTHILL PKWY, SUITE 120
El Dorado Hills, CA 95762

Reassigned Medicare billing, California enrollment
152 clinicians in this Medicare group

NPI 1972657559 (916) 399-8010

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 94945 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

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA PARKS RN, CDCES

Registered Nurse (Diabetes Educator)