NINAD ATHALE M.D.
NPI 1619124864
Family Medicine in Napa, CA
About Ninad Athale M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINAD ATHALE M.D. (NPI 1619124864) is an individual family medicine provider in Napa, California, licensed in California (A108914) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Petaluma, and is a graduate of University Of California, San Diego School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ninad Athale 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ninad Athale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Berkely, CA 94710
- Reassigned Medicare billing, California enrollment
- 35 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94558 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Ninad Athale's NPI number?
The NPI number for Ninad Athale is 1619124864. It was assigned to this individual provider in the NPPES registry on August 19, 2008.
Where is Ninad Athale located?
Ninad Athale practices at 1141 Pear Tree Ln Suite 100, Napa, CA 94558. The listed phone number is (707) 254-1770.
What is Ninad Athale's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ninad Athale enrolled in Medicare?
Yes. Ninad Athale 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 Ninad Athale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ninad Athale reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Inpatient Consultants Of California, Inc. (Berkely, 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 Ninad Athale'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 Ninad Athale was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ninad Athale, M.D. · NPI 1619124864
Family Medicine physician in Napa, California. Individual provider, active in the CMS NPPES registry since August 19, 2008.
## Identity
- **NPI:** 1619124864 (Entity type: Individual)
- **Enumerated:** August 19, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A108914 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1141 PEAR TREE LN, SUITE 100, Napa, CA 94558-6484
- **Phone:** (707) 254-1770 · **Fax:** (707) 251-2995
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Inpatient Consultants Of California, Inc. (NPI 1831134253, Berkely, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619124864) · Data from the CMS NPPES public registry.