ADEELA N ANSARI M.D.
NPI 1427234012
Internal Medicine - Endocrinology, Diabetes & Metabolism in Elk Grove, CA

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
8220 WYMARK DR STE 200, ELK GROVE, CA 95757(916) 667-0600(916) 667-0858 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Jul 31, 2020 (2 updates tracked since 2020).

About Adeela N Ansari M.d. NPPES

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

ADEELA N ANSARI M.D. (NPI 1427234012) is an individual endocrinology, diabetes & metabolism provider in Elk Grove, California, licensed in California (A84699) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1427234012
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameADEELA N ANSARICredential: M.D.
Location Address8220 WYMARK DR STE 200Elk Grove, CA 95757-6298
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 667-0858
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 14, 2008
Last NPPES UpdateAugust 22, 20252 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
NPI 1427234012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · A84699
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
8220 WYMARK DR STE 200, Elk Grove, CA 95757

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

Adeela N Ansari 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 ID9234211749
PECOS Enrollment IDI20080123000405
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 9

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
9,540 services105 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,207 services653 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
342 services135 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
189 services134 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
178 services107 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
102 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95757 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers74 claims961 services$17.82 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers74 claims2,747 services$2.32 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers55 claims55 services$168.70 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
55 suppliers169 claims705 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers63 claims143 services$1.11 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers78 claims78 services$309.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Surgery
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Pediatrics
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Psychiatry & Neurology (Neurology)
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Podiatrist (Foot & Ankle Surgery)
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Nurse Practitioner (Family)
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Physician Assistant
8220 WYMARK DR STE 200
ELK GROVE, CA 95757
Psychiatry & Neurology (Neurology)
8220 WYMARK DR STE 200
ELK GROVE, CA 95757

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 Adeela Ansari's NPI number?

The NPI number for Adeela Ansari is 1427234012. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Adeela Ansari located?

Adeela Ansari practices at 8220 Wymark Dr Ste 200, Elk Grove, CA 95757. The listed phone number is (916) 667-0600.

What is Adeela Ansari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Adeela Ansari enrolled in Medicare?

Yes. Adeela Ansari 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 Adeela Ansari was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.