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MYTHILI PRABHU PATHIPATI MD
NPI 1306336490
Internal Medicine - Gastroenterology in Palo Alto, CA

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment
795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2972 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Oct 13, 2018, May 14, 2018 (3 updates tracked since 2018).

About Mythili Prabhu Pathipati Md NPPES

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

MYTHILI PRABHU PATHIPATI MD (NPI 1306336490) is an individual gastroenterology provider in Palo Alto, California, licensed in California (A198348) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306336490
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMYTHILI PRABHU PATHIPATICredential: MD
Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2972
Phone(650) 853-2972
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 14, 2018
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1306336490 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 · A198348
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.
795 EL CAMINO REAL, Palo Alto, CA 94301
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (515) 450-3255

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mythili Prabhu Pathipati Md 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 ID7416200423
PECOS Enrollment IDI20240918003823
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 Reassignment

Medicare enrollment records show Mythili Pathipati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
Same address
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
NPI 1013950807 (650) 321-4121

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 94301 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

DR. SHIRA BETH LIPTON M.D.
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
DR. KATHERINE A KWIATKOWSKI MD
Psychiatry & Neurology (Psychiatry)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2904
MS. HEATHER HUGHES ROSE PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (707) 280-2417
CRYSTAL TSAI MS, RD
Dietitian, Registered
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2961
RUTH ROTHMAN MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-4865
WINONA TAN M.D.
Obstetrics & Gynecology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2917
SHERRY HUANG MD
Family Medicine
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2984
DR. JULIA MCKENZIE GABHART M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

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 Mythili Pathipati's NPI number?

The NPI number for Mythili Pathipati is 1306336490. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Mythili Pathipati located?

Mythili Pathipati practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-2972.

What is Mythili Pathipati's specialty?

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

Is Mythili Pathipati enrolled in Medicare?

Yes. Mythili Pathipati 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.

Which organization bills Medicare for Mythili Pathipati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mythili Pathipati reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mythili Pathipati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mythili Pathipati was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.