1. Home
  2. Directory
  3. California
  4. Modesto
  5. Pediatrics
  6. NPI Profile

DR. PRATIBHA PATIL MD
NPI 1609251925
Pediatrics in Modesto, CA

Active since July 28, 2015PECOS Enrolled
1510 FLORIDA AVE, MODESTO, CA 95350(209) 549-7090(209) 549-7099 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pratibha Patil Md NPPES

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

DR. PRATIBHA PATIL MD (NPI 1609251925) is an individual pediatrics provider in Modesto, California, licensed in California (A154869) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609251925
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PRATIBHA PATILCredential: MD
Location Address1510 FLORIDA AVEModesto, CA 95350
Mailing Address737 W Childs AveMerced, CA 95341-6805 · (209) 383-1848
Phone(209) 549-7090
Fax(209) 549-7099
Sole ProprietorNo
Enumeration DateJuly 28, 2015
Last NPPES UpdateJuly 24, 2018
✔ NPI 1609251925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A154869
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1510 FLORIDA AVE, Modesto, CA 95350
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pratibha Patil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Golden Valley Health Center
Same address
Federally Qualified Health Center (FQHC)
1510 FLORIDA AVE, SUITE B
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1033193610 (209) 549-7090
Community Medical Centers, Inc
14 mi
Clinic/Center
200 COTTAGE AVE STE 103
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1710211214 (209) 624-5800

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 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

GOLDEN VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1510 FLORIDA AVE, SUITE B
MODESTO, CA 95350
Stanislaus County (209) 549-7090
GOLDEN VALLEY HEALTH CENTERS
Obstetrics & Gynecology
1510 FLORIDA AVE, SUITE B
MODESTO, CA 95350
Stanislaus County (209) 574-1367
KISHORE KUMAR GADDAM M.D
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 722-4842
HEATHER LEE MD
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 492-7150
MOHAMED ASHKAR
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 722-4842
BASSAM ALJOMARD MD
Pediatrics
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (866) 682-4842
ALESSANDRA MARIE VALENZUELA PORFIDO PA-C
Physician Assistant
1510 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (866) 682-4842
DR. ELAINE JOY TUBAYAN SORIANO MD
Internal Medicine
1510 FLORIDA AVE, SUITE H
MODESTO, CA 95350
Stanislaus County (209) 574-1030

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 Pratibha Patil's NPI number?

The NPI number for Pratibha Patil is 1609251925. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Pratibha Patil located?

Pratibha Patil practices at 1510 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 549-7090.

What is Pratibha Patil's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pratibha Patil enrolled in Medicare?

Yes. Pratibha Patil is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pratibha Patil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Patil reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Modesto, CA) and Community Medical Centers, Inc (Manteca, CA). 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 Pratibha Patil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pratibha Patil was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.