DR. NANCY NEKESA MUTORO M.D.
NPI 1437492428
Hospitalist in Salinas, CA

Q: What is Nancy Mutoro's NPI number?

The NPI number for Nancy Mutoro is 1437492428. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Nancy Mutoro's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Mutoro was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 28, 2013PECOS EnrolledAccepts Medicare Assignment

450 E ROMIE LN, SALINAS, CA 93901(831) 759-3257 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, Sep 19, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Nancy Nekesa Mutoro M.d. NPPES

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

DR. NANCY NEKESA MUTORO M.D. (NPI 1437492428) is an individual hospitalist provider in Salinas, California, licensed in California (A150058) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lompoc, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1437492428

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. NANCY NEKESA MUTOROCredential: M.D.

Location Address450 E ROMIE LNSalinas, CA 93901-4029

Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885 · (831) 649-1000

Phone(831) 759-3257

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013

Enumeration DateMarch 28, 2013

Last NPPES UpdateAugust 29, 20234 updates tracked since enumeration

NPPES CertifiedJune 29, 2023

✔ NPI 1437492428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A150058

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License R3920 (TX), A150058 (CA)

450 E ROMIE LN, Salinas, CA 93901

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Secondary Practice Location 1

Location 1136 N 3rd StLompoc, CA 93436 · Phone (805) 736-1253 · Fax (805) 736-5355

Other Identifiers 1

MedicaidZZZ37313ZCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nancy Nekesa Mutoro 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 ID8527333848

PECOS Enrollment IDI20171011003573

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.

Medicare Billing Reassignments

Medicare enrollment records show Nancy Mutoro reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Svmhs Clinics

0.1 mi

Multi-Specialty

505 E ROMIE LN STE A
Salinas, CA 93901

Reassigned Medicare billing, California enrollment
310 clinicians in this Medicare group

NPI 1093158347 (831) 755-1701

Vituity Hospitalists PC

66 mi

Hospitalist

170 ALAMEDA DE LAS PULGAS
Redwood City, CA 94062

Reassigned Medicare billing, California enrollment
182 clinicians in this Medicare group

NPI 1174000533 (650) 369-5811

Mch Professional Care Hospital Based

1,150 mi

Family Medicine

500 W 4TH ST
Odessa, TX 79761

Reassigned Medicare billing, Texas enrollment
219 clinicians in this Medicare group

NPI 1447547773 (432) 640-2401

Lonestar Hospital Medicine Associates, PA

1,423 mi

Hospitalist

2700 E BROAD ST
Mansfield, TX 76063

Reassigned Medicare billing, Texas enrollment
994 clinicians in this Medicare group

NPI 1518237429 (682) 622-2000

Ipc Healthcare Services Of Texas, PLLC

1,426 mi

Hospitalist

7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
688 clinicians in this Medicare group

NPI 1023403011 (210) 344-7287

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.

588 services284 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

228 services221 patients

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.

94 services66 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

60 services60 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.

59 services58 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93901 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

$139.84 typical visit price

range $61.69 – $184.30

Typical copayment $34.96 (range $15.42 – $46.07)

Most-billed visit code 99204

Established Patient

$108.04 typical visit price

range $20.34 – $151.02

Typical copayment $27.01 (range $5.08 – $37.75)

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.

RACHEL BOJKA PA-C

Physician Assistant