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KATAYOUN SADRI MD
NPI 1205878642
Pediatrics in San Jose, CA

Active since June 11, 2006PECOS Enrolled
6881 CAMPISI CT, SAN JOSE, CA 95120(650) 804-0496 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katayoun Sadri Md NPPES

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

KATAYOUN SADRI MD (NPI 1205878642) is an individual pediatrics provider in San Jose, California, licensed in California (A85562) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1205878642
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATAYOUN SADRICredential: MD
Location Address6881 CAMPISI CTSan Jose, CA 95120-3107
Mailing Address6881 Campisi CtSan Jose, CA 95120-3107 · (650) 804-0496
Phone(650) 804-0496
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1205878642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A85562
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.
6881 CAMPISI CT, San Jose, CA 95120
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Secondary Practice Location 1

Location 12450 Ashby AveBerkeley, CA 94705-2067 · Phone (510) 204-4444

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katayoun Sadri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971776188
PECOS Enrollment IDI20250822002125
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 95120 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.

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 Katayoun Sadri's NPI number?

The NPI number for Katayoun Sadri is 1205878642. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Katayoun Sadri located?

Katayoun Sadri practices at 6881 Campisi Ct, San Jose, CA 95120. The listed phone number is (650) 804-0496.

What is Katayoun Sadri's specialty?

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

Is Katayoun Sadri enrolled in Medicare?

Yes. Katayoun Sadri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katayoun Sadri was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.