DR. HEMA L VAIDYA-NATHAN M.D.
NPI 1225181241
Family Medicine in Thousand Oaks, CA

Q: What is Hema Vaidya-nathan's NPI number?

The NPI number for Hema Vaidya-nathan is 1225181241. It was assigned to this individual provider in the NPPES registry on January 21, 2007.

Q: What is Hema Vaidya-nathan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 21, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0945279 · Microscopy

82.65/100

CMS Quality Rating

227 W JANSS RD, SUITE 335, THOUSAND OAKS, CA 91360(805) 496-0135(805) 496-4222 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Hema L Vaidya-nathan M.d. NPPES

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

DR. HEMA L VAIDYA-NATHAN M.D. (NPI 1225181241) is an individual family medicine provider in Thousand Oaks, California, licensed in California (A33370) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 27, 2028, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1225181241

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HEMA L VAIDYA-NATHANCredential: M.D.

Location Address227 W JANSS RD, SUITE 335Thousand Oaks, CA 91360-1848

Mailing Address227 W Janss Rd, Suite 335Thousand Oaks, CA 91360-1848 · (805) 496-0135 · Fax (805) 496-4222

Phone(805) 496-0135

Fax(805) 496-4222

Sole ProprietorYes

Medical School CMSOtherGraduated 1971

Enumeration DateJanuary 21, 2007

Last NPPES UpdateOctober 15, 2010

✔ NPI 1225181241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A33370

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

227 W JANSS RD, Thousand Oaks, CA 91360

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Other Identifiers 1

Medicare UPINA87837CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hema L Vaidya-nathan 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 ID42499360

PECOS Enrollment IDI20110119000526

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0945279

Hema Vaidya Nathan MD · Thousand Oaks, CA

Active · expires Apr 27, 2028

CLIA Number05D0945279

Laboratory TypePhysician Office

Certificate Effective DateApril 28, 2026

Certificate Expiration DateApril 27, 2028

Laboratory DirectorHema L. Vaidya Nathan

Laboratory Phone(818) 496-0135

Laboratory LocationHema Vaidya Nathan MD227 W Janss Rd Ste 335, Thousand Oaks, CA 91360

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 16

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.

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.

925 services207 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

498 services170 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.

355 services38 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

262 services115 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

161 services161 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

160 services160 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

152 services152 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

150 services71 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

132 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

92 services67 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

84 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

70 services47 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

67 services47 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

64 services63 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

62 services61 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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.

82.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

42.18

Reported Quality Measures

Advance Care Plan

99%200 patients4/55-star benchmark: 100%

Breast Cancer Screening

82%66 patients4/55-star benchmark: 93%

Cervical Cancer Screening

89%44 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

4%217 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

70%104 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

79%121 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

90%571 patients4/55-star benchmark: 100%

e-Prescribing

98%2,004 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

51%197 patients3/55-star benchmark: 100%

HIV Screening

14%71 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

45%264 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

60%164 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 92% · 159 patients

92%159 patients

Provide Patients Electronic Access to Their Health Information

86%326 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 9% · 179 patients

Patients totalRate: 20% · 205 patients

18%205 patients3/55-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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers26 claims48 services$5.98 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 supplier11 claims11 services$13.51 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

2 suppliers69 claims69 services$58.46 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier54 claims54 services$30.26 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$15.12 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.40 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.

DR. PAUL RONALD BLOCK M.D.

Internal Medicine (Pulmonary Disease)

227 W JANSS RD, STE 305
THOUSAND OAKS, CA 91360

Ventura County (805) 449-4181

DR. LAWRENCE ARTHUR BAKER M.D.

Internal Medicine (Pulmonary Disease)

227 W JANSS RD, STE 250
THOUSAND OAKS, CA 91360

Ventura County (805) 497-7508

DR. PHILIP L. BARRY MD

Orthopaedic Surgery

227 W JANSS RD, SUITE 320
THOUSAND OAKS, CA 91360

Ventura County (805) 497-2500

DR. PAUL FINKEL M.D.

Internal Medicine (Nephrology)

227 W JANSS RD, SUITE 110
THOUSAND OAKS, CA 91360

Ventura County (805) 496-6051

DR. RUTH L POLAN MD

Radiology (Diagnostic Radiology)

227 W JANSS RD, SUITE 150
THOUSAND OAKS, CA 91360

Ventura County (805) 496-7755

DR. HARRY J COZEN M.D.

Anesthesiology

227 W JANSS RD
THOUSAND OAKS, CA 91360

Ventura County (805) 371-0455

BLOCK, BAKER & GONZALEZ A MEDICAL CORPORATION

Clinic/Center (Primary Care)

227 W JANSS RD, 250
THOUSAND OAKS, CA 91360

Ventura County (805) 497-7508

BARRY LEFKOVITCH M.D.

Family Medicine

227 W JANSS RD, SUITE 315
THOUSAND OAKS, CA 91360

Ventura County (805) 267-9591

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 Hema Vaidya-nathan's NPI number?

The NPI number for Hema Vaidya-nathan is 1225181241. It was assigned to this individual provider in the NPPES registry on January 21, 2007.

Where is Hema Vaidya-nathan located?

Hema Vaidya-nathan practices at 227 W Janss Rd Suite 335, Thousand Oaks, CA 91360. The listed phone number is (805) 496-0135.

What is Hema Vaidya-nathan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hema Vaidya-nathan enrolled in Medicare?

Yes. Hema Vaidya-nathan 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.

Does Hema Vaidya-nathan hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0945279) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hema Vaidya-nathan was last updated on October 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.