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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ISMAIL WADIWALA MD
NPI 1275502171
Internal Medicine - Gastroenterology in Manteca, CA

Active since March 14, 2006PECOS Enrolled
210 N FREMONT ST, MANTECA, CA 95336(209) 823-1121(209) 823-0393 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ismail Wadiwala Md NPPES

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

ISMAIL WADIWALA MD (NPI 1275502171) is an individual gastroenterology provider in Manteca, California, licensed in California (A42925) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275502171
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameISMAIL WADIWALACredential: MD
Location Address210 N FREMONT STManteca, CA 95336-4725
Mailing Address210 N Fremont StManteca, CA 95336-4725 · (209) 823-1121 · Fax (209) 823-0393
Phone(209) 823-1121
Fax(209) 823-0393
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1275502171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A42925
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
210 N FREMONT ST, Manteca, CA 95336
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ismail Wadiwala Md 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 95336 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE C SCOTT MD
Obstetrics & Gynecology
210 N FREMONT ST
MANTECA, CA 95336
San Joaquin County (209) 239-4100

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 Ismail Wadiwala's NPI number?

The NPI number for Ismail Wadiwala is 1275502171. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Ismail Wadiwala located?

Ismail Wadiwala practices at 210 N Fremont St, Manteca, CA 95336. The listed phone number is (209) 823-1121.

What is Ismail Wadiwala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ismail Wadiwala enrolled in Medicare?

Yes. Ismail Wadiwala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ismail Wadiwala was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.