ALEXANDRA NUTAITIS DO
NPI 1548897770
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in San Diego, CA

Q: What is Alexandra Nutaitis's NPI number?

The NPI number for Alexandra Nutaitis is 1548897770. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Alexandra Nutaitis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2025, Jul 10, 2024, Apr 15, 2020 and 1 more (4 updates tracked since 2020).

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About Alexandra Nutaitis Do NPPES

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

ALEXANDRA NUTAITIS DO (NPI 1548897770) is an individual urogynecology and reconstructive pelvic surgery provider in San Diego, California, licensed in California (20A22485) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1548897770

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameALEXANDRA NUTAITISCredential: DO

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(800) 926-8273

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1548897770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in CA · 20A22485

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 20A22485 (CA)

200 W ARBOR DR, San Diego, CA 92103

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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

Alexandra Nutaitis Do 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 ID4688091861

PECOS Enrollment IDI20240722003755

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 92103 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

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)