NI MO D.O.
NPI 1285175539
Hospitalist in Antioch, CA

Active since March 19, 2017PECOS EnrolledAccepts Medicare Assignment
4501 SAND CREEK RD, ANTIOCH, CA 94531(925) 813-6500 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 17, 2021, Aug 12, 2020, Mar 19, 2017 (3 updates tracked since 2017).

About Ni Mo D.o. NPPES

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

NI MO D.O. (NPI 1285175539) is an individual hospitalist provider in Antioch, California, licensed in California (20A16690) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1285175539
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNI MOCredential: D.O.
Location Address4501 SAND CREEK RDAntioch, CA 94531-8687
Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2017
Enumeration DateMarch 19, 2017
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1285175539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · 20A16690
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.
4501 SAND CREEK RD, Antioch, CA 94531

Secondary Practice Location 1

Location 14077 Fifth Ave, # Mer35San Diego, CA 92103-2105 · Phone (510) 565-4087

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

Ni Mo D.o. 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 ID2466865381
PECOS Enrollment IDI20210113001316
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94531 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
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.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4501 SAND CREEK RD
ANTIOCH, CA 94531
Internal Medicine
4501 SAND CREEK RD
ANTIOCH, CA 94531
Physician Assistant
4501 SAND CREEK RD
ANTIOCH, CA 94531
Hospitalist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Physical Therapist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Pharmacist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Pharmacist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Respiratory Therapist, Registered
4501 SAND CREEK RD
ANTIOCH, CA 94531

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 Ni Mo's NPI number?

The NPI number for Ni Mo is 1285175539. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is Ni Mo located?

Ni Mo practices at 4501 Sand Creek Rd, Antioch, CA 94531. The listed phone number is (925) 813-6500.

What is Ni Mo's specialty?

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

Is Ni Mo enrolled in Medicare?

Yes. Ni Mo 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 Ni Mo was last updated on December 17, 2021. 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.