MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC
NPI 1609888593
Orthopaedic Surgery in Fremont, CA
About Mission Peak Orthopaedic Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSION PEAK ORTHOPAEDIC MEDICAL GROUP, INC (NPI 1609888593) is a healthcare organization registered as an orthopaedic surgery in Fremont, California and active in the NPI registry since August 2006. The organization lists Lingagoud Memula, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mission Peak Orthopaedic Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Mission Peak Orthopaedic Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (11)
Fremont, CA 94538
Fremont, CA 94538
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mission Peak Orthopaedic Medical Group, Inc's NPI number?
The NPI number for Mission Peak Orthopaedic Medical Group, Inc is 1609888593. It was assigned to this organization in the NPPES registry on August 12, 2006.
Where is Mission Peak Orthopaedic Medical Group, Inc located?
Mission Peak Orthopaedic Medical Group, Inc is located at 39350 Civic Center Dr Ste 300, Fremont, CA 94538. The listed phone number is (510) 797-3933.
What is Mission Peak Orthopaedic Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Mission Peak Orthopaedic Medical Group, Inc enrolled in Medicare?
Yes. Mission Peak Orthopaedic Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission Peak Orthopaedic Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians reassign their Medicare billing to Mission Peak Orthopaedic Medical Group, Inc, in General Practice, Hand Surgery, Nurse Practitioner, Orthopedic Surgery, Physical Medicine and Rehabilitation and 2 other specialties. A 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 the clinician's services. Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mission Peak Orthopaedic Medical Group, Inc was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mission Peak Orthopaedic Medical Group, Inc · NPI 1609888593
Orthopaedic Surgery organization in Fremont, California. Organization record, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1609888593 (Entity type: Organization)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Lingagoud Memula, ADMINISTRATOR
## Practice location
- **Address:** 39350 CIVIC CENTER DR STE 300, Fremont, CA 94538-2331
- **Phone:** (510) 797-3933 · **Fax:** (510) 797-5184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Orthopedic Surgery (2), Physical Therapist in Private Practice (2); 9 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2015
- **Other identifiers:** Medicare UPIN I45989 (CA); Other ZZZ5427Z (CA); Medicare UPIN G09341 (CA); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1609888593) · Data from the CMS NPPES public registry.