DR. NISRIN FADUL MD
NPI 1326354069
Pediatrics in Sacramento, CA

Q: What is Nisrin Fadul's NPI number?

The NPI number for Nisrin Fadul is 1326354069. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Q: What is Nisrin Fadul's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nisrin Fadul was last updated on January 4, 2022. 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.

Active since August 19, 2010PECOS Enrolled

6600 BRUCEVILLE RD, SACRAMENTO, CA 95823(916) 688-6800 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Mar 17, 2018, Jul 17, 2017 (3 updates tracked since 2017).

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About Dr. Nisrin Fadul Md NPPES

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

DR. NISRIN FADUL MD (NPI 1326354069) is an individual pediatrics provider in Sacramento, California, licensed in California (149858) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1326354069

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. NISRIN FADULCredential: MD

Location Address6600 BRUCEVILLE RDSacramento, CA 95823-4671

Mailing Address6600 Bruceville RdSacramento, CA 95823-4671 · (916) 688-6800

Phone(916) 688-6800

Sole ProprietorNo

Enumeration DateAugust 19, 2010

Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration

✔ NPI 1326354069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · 149858✔ Licensed in MI · 4301095978

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6600 BRUCEVILLE RD, Sacramento, CA 95823

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Secondary Practice Location 1

Location 13901 Beaubien St, Children's Hospital of MichiganDetroit, MI 48201-2119 · Phone (313) 745-5437

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nisrin Fadul 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc

32 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 95823 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

SHANNON KENTERA CRNA

Nurse Anesthetist, Certified Registered