DR. SATYA S TORAM MD
NPI 1225175029
Hospitalist in Modesto, CA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
86.06/100
CMS Quality Rating
1441 FLORIDA AVE, MODESTO, CA 95350(585) 489-9720(408) 429-8388 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2026, Dec 4, 2017 (2 updates tracked since 2017).

About Dr. Satya S Toram Md NPPES

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

DR. SATYA S TORAM MD (NPI 1225175029) is an individual hospitalist provider in Modesto, California, licensed in California (A102499) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Gatos, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1225175029
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SATYA S TORAMCredential: MD
Location Address1441 FLORIDA AVEModesto, CA 95350-4404
Mailing Address1441 Florida AveModesto, CA 95350-4404 · (585) 489-9720
Fax(408) 429-8388
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 31, 2007
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1225175029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A102499
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301093044 (MI), AFE102499 (CA)
1441 FLORIDA AVE, Modesto, CA 95350

Secondary Practice Location 1

Location 1340 Dardanelli Ln Ste 24Los Gatos, CA 95032-1418 · Phone (585) 489-9720 · Fax (408) 429-8388

Other Identifiers 1

Other11861906Cahq

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. Satya S Toram Md 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 ID8224194857
PECOS Enrollment IDI20121012000745
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

9

Medicare enrollment records show Satya Toram reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1441 FLORIDA AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 176 clinicians in this Medicare group
Internal Medicine
200 W COOLIDGE AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Internal Medicine
179 FAIRVIEW LN
Sonora, CA 95370
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
Clinic/Center
18550 DE PAUL DR
Morgan Hill, CA 95037
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
Family Medicine
15066 LOS GATOS ALMADEN RD
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Hospitalist
340 DARDANELLI LN STE 24
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Hospitalist
2500 GRANT RD
Mountain View, CA 94040
  • Reassigned Medicare billing, California enrollment
  • 217 clinicians in this Medicare group
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 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.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,384 services182 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
994 services162 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
356 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
240 services171 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
221 services189 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
185 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.41
Improvement Activities40
Cost59.79

Reported Quality Measures

Advance Care Plan
100%399 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
91%237 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$41.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$14.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$62.28 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers40 claims40 services$14.51 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$31.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacy Technician
1441 FLORIDA AVE
MODESTO, CA 95350
Family Medicine
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacist
1441 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Anesthesiology
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350

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 Satya Toram's NPI number?

The NPI number for Satya Toram is 1225175029. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Satya Toram located?

Satya Toram practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (585) 489-9720.

What is Satya Toram's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Satya Toram enrolled in Medicare?

Yes. Satya Toram 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 organizations bill Medicare for Satya Toram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Satya Toram reassigns Medicare benefits to 9 organizations: Hospitalists Of Modesto Medical Group Inc (Modesto, CA), First Choice Physician Partners (Modesto, CA), California Emergency Physicians Medical Group, A Professional Corp. (Sonora, CA), County Of Santa Clara (Morgan Hill, CA), Blossom Ridge Medical Group Inc (Los Gatos, CA) and 4 more organizations, listed in the Medicare section above. Each 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 Satya Toram'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 Satya Toram was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.