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STEPHEN NNODIM JR. MD
NPI 1396199105
Psychiatry & Neurology - Neurology in Fremont, CA

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
39400 PASEO PADRE PKWY, FREMONT, CA 94538(510) 248-3572(510) 248-3375 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2025, Jul 9, 2024, Jul 20, 2020 (3 updates tracked since 2020).

About Stephen Nnodim Jr. Md NPPES

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

STEPHEN NNODIM JR. MD (NPI 1396199105) is an individual neurology provider in Fremont, California, licensed in California (A150305) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2017).

NPPES Registry Identity

NPI1396199105
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSTEPHEN NNODIM JR.Credential: MD
Location Address39400 PASEO PADRE PKWYFremont, CA 94538-2310
Mailing Address39400 Paseo Padre PkwyFremont, CA 94538-2310 · (510) 248-3572 · Fax (510) 248-3375
Phone(510) 248-3572
Fax(510) 248-3375
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2017
Enumeration DateApril 18, 2016
Last NPPES UpdateAugust 16, 20253 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1396199105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A150305
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
39400 PASEO PADRE PKWY, Fremont, CA 94538
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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

Stephen Nnodim Jr. 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 ID749604510
PECOS Enrollment IDI20240516002427
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 94538 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

MELINDA JENNY STEELE MD
Family Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 248-3000
HEUMIN LI R.PH.
Pharmacist
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 248-7577
SRILATA RAMAN M.D.
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 248-3623
MS. BARBARA TEDESCO ZEPEDA WHCNP
Registered Nurse (Women's Health Care, Ambulatory)
39400 PASEO PADRE PKWY, EMBARCADERO OB/GYN
FREMONT, CA 94538
Alameda County (510) 248-3591
CALVIN B. WHEELER MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 795-3000
HANNELORE MOHR MD
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 795-3000
FREDERICK G. HOM MD
Internal Medicine
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 795-3000
MANJU JACOB
Dietitian, Registered
39400 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 739-6412

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 Stephen Nnodim's NPI number?

The NPI number for Stephen Nnodim is 1396199105. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Stephen Nnodim located?

Stephen Nnodim practices at 39400 Paseo Padre Pkwy, Fremont, CA 94538. The listed phone number is (510) 248-3572.

What is Stephen Nnodim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stephen Nnodim enrolled in Medicare?

Yes. Stephen Nnodim 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.

When was this NPI record last updated?

The NPPES record for Stephen Nnodim was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.