NATHANIEL RICHARD DEFELICE M.D.
NPI 1366761496
Internal Medicine - Critical Care Medicine in Sacramento, CA

Q: What is Nathaniel Defelice's NPI number?

The NPI number for Nathaniel Defelice is 1366761496. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Q: What is Nathaniel Defelice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since May 28, 2010PECOS EnrolledAccepts Medicare Assignment

1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816(916) 679-3590(916) 482-3647 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Oct 16, 2020, Oct 10, 2019 and 3 more (6 updates tracked since 2017).

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About Nathaniel Richard Defelice M.d. NPPES

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

NATHANIEL RICHARD DEFELICE M.D. (NPI 1366761496) is an individual critical care medicine provider in Sacramento, California, licensed in California (A129005) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1366761496

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameNATHANIEL RICHARD DEFELICECredential: M.D.

Location Address1508 ALHAMBRA BLVD STE 200Sacramento, CA 95816-6510

Mailing Address1300 Ethan Way Ste 600Sacramento, CA 95825-2296 · (916) 679-3513 · Fax (916) 679-3563

Phone(916) 679-3590

Fax(916) 482-3647

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 28, 2010

Last NPPES UpdateOctober 19, 20206 updates tracked since enumeration

NPPES CertifiedOctober 19, 2020

✔ NPI 1366761496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in CA · A129005

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 129005 (CA)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A129005 (CA)

1508 ALHAMBRA BLVD STE 200, Sacramento, CA 95816

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Richard Defelice M.d. 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 ID2769617851

PECOS Enrollment IDI20160920001798

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

156 services90 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

148 services91 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

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.

VINOD TRIVEDI MD

Internal Medicine (Infectious Disease)