DR. SAPNA Y PATEL D.O.
NPI 1306233143
Internal Medicine in San Bernardino, CA

Q: What is Sapna Patel's NPI number?

The NPI number for Sapna Patel is 1306233143. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Sapna Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sapna Patel was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 20, 2015PECOS Enrolled

96.5/100

CMS Quality Rating

2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 881-4520 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2023, Oct 5, 2018 (2 updates tracked since 2018).

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About Dr. Sapna Y Patel D.o. NPPES

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

DR. SAPNA Y PATEL D.O. (NPI 1306233143) is an individual internal medicine provider in San Bernardino, California, licensed in California (20A16476) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hialeah.

NPPES Registry Identity

NPI1306233143

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SAPNA Y PATELCredential: D.O.

Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836

Mailing Address2101 N Waterman AveSan Bernardino, CA 92404-4836 · (909) 881-4520

Phone(909) 881-4520

Sole ProprietorYes

Enumeration DateApril 20, 2015

Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration

✔ NPI 1306233143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A16476

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2101 N WATERMAN AVE, San Bernardino, CA 92404

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Secondary Practice Location 1

Location 12001 W 68th St Ste 202Hialeah, FL 33016-1801 · Phone (305) 364-2107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sapna Y Patel D.o. 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.

Medicare Billing Reassignments

Medicare enrollment records show Sapna Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatient Specialists Of California, PC

Same address

Internal Medicine

2101 N WATERMAN AVE
San Bernardino, CA 92404

Reassigned Medicare billing, California enrollment
1,216 clinicians in this Medicare group

NPI 1952792475 (615) 377-5658

Southern California Permanente Medical Group

37 mi

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

96.5/100

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

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 14

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

21 suppliers61 claims110 services$6.04 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers25 claims31 services$0.89 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers13 claims13 services$36.45 avg. paid by Medicare

Seat attachment, walker E0156

DME-Other DME · category DE000N

2 suppliers11 claims11 services$14.13 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

2 suppliers14 claims14 services$9.13 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers31 claims31 services$38.32 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.

NICHOLAS WALTHER PA-C

Physician Assistant (Medical)