PREETIKA SINH M.D.
NPI 1497047369
Internal Medicine - Gastroenterology in La Jolla, CA

Active since May 10, 2011PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9350 CAMPUS POINT DR, LA JOLLA, CA 92037(800) 926-8273 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Aug 2, 2019 (2 updates tracked since 2019).

About Preetika Sinh M.d. NPPES

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

PREETIKA SINH M.D. (NPI 1497047369) is an individual gastroenterology provider in La Jolla, California, licensed in California (C201082) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497047369
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePREETIKA SINHCredential: M.D.
Location Address9350 CAMPUS POINT DRLa Jolla, CA 92037-1300
Mailing AddressFile 57326Los Angeles, CA 90074-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 10, 2011
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1497047369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in CA · C201082✔ Licensed in WI · 71577✔ Licensed in OH · 57.02408
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036122535 (IL), 94-07691 (KS)
9350 CAMPUS POINT DR, La Jolla, CA 92037

Secondary Practice Locations 3

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 955-6830 · Fax (414) 955-6214
Location 2200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273
Location 39300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273

Accepted 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

Preetika Sinh 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 ID4183938806
PECOS Enrollment IDI20250703001913
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

2

Medicare enrollment records show Preetika Sinh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,051 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group

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 2

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
17 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Pharmacist (Pharmacotherapy)
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Obstetrics & Gynecology
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Obstetrics & Gynecology (Obstetrics)
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Audiologist
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Internal Medicine
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Physical Therapist
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Physician Assistant
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Internal Medicine (Gastroenterology)
9350 CAMPUS POINT DR
LA JOLLA, CA 92037

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 Preetika Sinh's NPI number?

The NPI number for Preetika Sinh is 1497047369. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Preetika Sinh located?

Preetika Sinh practices at 9350 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (800) 926-8273.

What is Preetika Sinh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Preetika Sinh enrolled in Medicare?

Yes. Preetika Sinh 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.

Which organizations bill Medicare for Preetika Sinh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Preetika Sinh reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Preetika Sinh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Preetika Sinh accept?

Health plans from Aspirus Health Plan and CareSource list Preetika Sinh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Preetika Sinh was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.