NICOLAS SEBASTIAN MOTTOLA MD
NPI 1376993279
Pediatrics in San Rafael, CA

Q: What is Nicolas Mottola's NPI number?

The NPI number for Nicolas Mottola is 1376993279. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Nicolas Mottola'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 Nicolas Mottola was last updated on December 17, 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.

Active since June 21, 2016PECOS Enrolled

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Jun 21, 2016 (2 updates tracked since 2016).

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About Nicolas Sebastian Mottola Md NPPES

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

NICOLAS SEBASTIAN MOTTOLA MD (NPI 1376993279) is an individual pediatrics provider in San Rafael, California, licensed in California (A157961) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1376993279

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameNICOLAS SEBASTIAN MOTTOLACredential: MD

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308 · (415) 444-2000

Phone(415) 444-2000

Sole ProprietorNo

Enumeration DateJune 21, 2016

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1376993279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A157961

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT211781 (PA)

99 MONTECILLO RD, San Rafael, CA 94903

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Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-3221

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Sebastian Mottola 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)