NURIT LICHT M.D.
NPI 1477545176
Family Medicine in Novato, CA

Q: What is Nurit Licht's NPI number?

The NPI number for Nurit Licht is 1477545176. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Nurit Licht's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nurit Licht was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 18, 2005PECOS Enrolled

75 ROWLAND WAY STE 200, NOVATO, CA 94945(415) 897-9664(415) 897-2446 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Sep 20, 2019, Jul 12, 2019 (3 updates tracked since 2019).

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About Nurit Licht M.d. NPPES

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

NURIT LICHT M.D. (NPI 1477545176) is an individual family medicine provider in Novato, California, licensed in California (A90977) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1999).

NPPES Registry Identity

NPI1477545176

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNURIT LICHTCredential: M.D.

Location Address75 ROWLAND WAY STE 200Novato, CA 94945-5054

Mailing Address75 Rowland Way Ste 200Novato, CA 94945-5054 · (415) 897-9664 · Fax (415) 897-2446

Phone(415) 897-9664

Fax(415) 897-2446

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1999

Enumeration DateAugust 18, 2005

Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1477545176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A90977

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

75 ROWLAND WAY STE 200, Novato, CA 94945

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Other Identifiers 6

OtherZZZ18742ZCA · Issuer Medicare

OtherA90977CA · License Number

MedicaidFHC70696FCA

Medicaid1477545176CA

MedicaidHAP70696FCA

MedicaidBCP70696FCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nurit Licht M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709976616

PECOS Enrollment IDI20071215000209

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 Nurit Licht reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Petaluma Health Center Inc

10 mi

Federally Qualified Health Center (FQHC)

1179 N MCDOWELL BLVD
Petaluma, CA 94954

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

NPI 1588656268 (707) 559-7500

Regents Univ Of California Ucsf

24 mi

Internal Medicine

505 PARNASSUS AVE
San Francisco, CA 94143

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

NPI 1124439807 (415) 476-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers13 claims2,160 services$1.41 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers24 claims24 services$189.49 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 9

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

AMANDA JO REINER DO

Family Medicine