ARI HAUPTMAN MD
NPI 1336223304
Pediatrics in Santa Rosa, CA
About Ari Hauptman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARI HAUPTMAN MD (NPI 1336223304) is an individual pediatrics provider in Santa Rosa, California, licensed in California (G67176) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ari Hauptman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ari Hauptman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Ari Hauptman's NPI number?
The NPI number for Ari Hauptman is 1336223304. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Ari Hauptman located?
Ari Hauptman practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4000.
What is Ari Hauptman's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ari Hauptman enrolled in Medicare?
Yes. Ari Hauptman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ari Hauptman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ari Hauptman reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Ari Hauptman'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 Ari Hauptman was last updated on December 13, 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.
# Ari Hauptman, MD · NPI 1336223304
Pediatrics physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1336223304 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** G67176 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 571-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2021
- **Other identifiers:** Medicaid 00G671760 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336223304) · Data from the CMS NPPES public registry.