Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MATTHEW NUDELMAN
NPI 1205456779
Pediatrics in Palo Alto, CA

Q: What is Matthew Nudelman's NPI number?

The NPI number for Matthew Nudelman is 1205456779. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Matthew Nudelman'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 Matthew Nudelman was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2020PECOS Enrolled

795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-3355 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Oct 10, 2023, Apr 24, 2020 (3 updates tracked since 2020).

On this page

About Matthew Nudelman NPPES

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

MATTHEW NUDELMAN (NPI 1205456779) is an individual pediatrics provider in Palo Alto, California, licensed in California (A209834) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Monona.

NPPES Registry Identity

NPI1205456779

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMATTHEW NUDELMAN

Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302

Mailing AddressPo Box 276950Sacramento, CA 95827-6950

Phone(650) 853-3355

Sole ProprietorNo

Enumeration DateApril 24, 2020

Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1205456779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A209834

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.

795 EL CAMINO REAL, Palo Alto, CA 94301

Open in Google Maps ↗

Secondary Practice Location 1

Location 16408 Bridge Rd Apt 374Monona, WI 53713-1833 · Phone (408) 687-5121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Nudelman 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.

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.

Leave this field empty