MONIKA WALIA
NPI 1275288037
Nurse Practitioner - Family in Hayward, CA

Active since February 19, 2022PECOS EnrolledAccepts Medicare Assignment
28.95/100
CMS Quality Rating
1090 LA PLAYA DR, HAYWARD, CA 94545(510) 796-7796(510) 796-7797 Get Directions Write a Review

NPPES record last updated: February 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monika Walia NPPES

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

MONIKA WALIA (NPI 1275288037) is an individual family provider in Hayward, California, licensed in California (95020065) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275288037
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONIKA WALIA
Location Address1090 LA PLAYA DRHayward, CA 94545-2142
Mailing Address5147 Selma AveFremont, CA 94536-7226 · (510) 401-4044
Fax(510) 796-7797
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 19, 2022
NPPES CertifiedNovember 30, 2021
NPI 1275288037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95020065
1090 LA PLAYA DR, Hayward, CA 94545

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Monika Walia 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 ID2264819697
PECOS Enrollment IDI20220524001595
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.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
383 services120 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.
127 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94545 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

28.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost96.52

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.

Hospitalist
1090 LA PLAYA DR
HAYWARD, CA 94545
Chiropractor
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Physician Assistant
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Clinic/Center (Primary Care)
1090 LA PLAYA DR
HAYWARD, CA 94545

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 Monika Walia's NPI number?

The NPI number for Monika Walia is 1275288037. It was assigned to this individual provider in the NPPES registry on February 19, 2022.

Where is Monika Walia located?

Monika Walia practices at 1090 La Playa Dr, Hayward, CA 94545. The listed phone number is (510) 796-7796.

What is Monika Walia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monika Walia enrolled in Medicare?

Yes. Monika Walia 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.

When was this NPI record last updated?

The NPPES record for Monika Walia was last updated on February 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.