VIVEK DATTA M.D., M.P.H.
NPI 1306109053
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in San Francisco, CA

Q: What is Vivek Datta's NPI number?

The NPI number for Vivek Datta is 1306109053. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Vivek Datta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Q: Is Vivek Datta enrolled in Medicare?

No. Vivek Datta has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Vivek Datta was last updated on October 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2012Opted out of Medicare · through Nov 1, 2027

2211 POST ST STE 300, SAN FRANCISCO, CA 94115(415) 209-5129(919) 551-7445 Get Directions Write a Review

NPPES record last updated: October 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2022, Oct 9, 2022, Aug 18, 2022 and 1 more (4 updates tracked since 2022).

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About Vivek Datta M.d., M.p.h. NPPES

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

VIVEK DATTA M.D., M.P.H. (NPI 1306109053) is an individual behavioral neurology & neuropsychiatry provider in San Francisco, California, licensed in California (141261) and active in the NPI registry since June 2012. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1306109053

Entity TypeIndividualMale

Primary Taxonomy2084B0040X

Provider Legal NameVIVEK DATTACredential: M.D., M.P.H.

Location Address2211 POST ST STE 300San Francisco, CA 94115-3442

Mailing Address2211 Post St Ste 300San Francisco, CA 94115-3442

Phone(415) 209-5129

Fax(919) 551-7445

Sole ProprietorNo

Enumeration DateJune 18, 2012

Last NPPES UpdateOctober 22, 20224 updates tracked since enumeration

NPPES CertifiedOctober 22, 2022

✔ NPI 1306109053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084B0040X

License✔ Licensed in CA · 141261

Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 141261 (CA)

Also ListedPsychiatry & Neurology · Brain Injury MedicineTaxonomy 2084P0301X · License A141261 (CA)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 141261 (CA)

2211 POST ST STE 300, San Francisco, CA 94115

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Secondary Practice Location 1

Location 1401 Parnassus Ave, Box PLP-0984San Francisco, CA 94143-2211 · Phone (415) 476-7521

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Vivek Datta M.d., M.p.h. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2023 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2023

Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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.

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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.

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