MELISSA NASIRUDDIN
NPI 1619469392
Internal Medicine in San Mateo, CA

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
1000 FRANKLIN PKWY, SAN MATEO, CA 94403(408) 828-9673 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Nasiruddin NPPES

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

MELISSA NASIRUDDIN (NPI 1619469392) is an individual internal medicine provider in San Mateo, California, licensed in California (20A19867) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cottonwood, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2018).

NPPES Registry Identity

NPI1619469392
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELISSA NASIRUDDIN
Location Address1000 FRANKLIN PKWYSan Mateo, CA 94403-1922
Mailing Address1020 Yates Way Apt 428San Mateo, CA 94403-1598 · (408) 828-9673
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
NPI 1619469392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · 20A19867
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 FRANKLIN PKWY, San Mateo, CA 94403

Secondary Practice Location 1

Location 1269 S Candy LnCottonwood, AZ 86326-4158 · Phone (928) 649-4900 · Fax (928) 639-6043

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

Melissa Nasiruddin 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 ID648611863
PECOS Enrollment IDI20240603001966
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 94403 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pediatrics
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pharmacist
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pediatrics
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pharmacist
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Internal Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Family Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Family Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403

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 Melissa Nasiruddin's NPI number?

The NPI number for Melissa Nasiruddin is 1619469392. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Melissa Nasiruddin located?

Melissa Nasiruddin practices at 1000 Franklin Pkwy, San Mateo, CA 94403. The listed phone number is (408) 828-9673.

What is Melissa Nasiruddin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melissa Nasiruddin enrolled in Medicare?

Yes. Melissa Nasiruddin 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.

When was this NPI record last updated?

The NPPES record for Melissa Nasiruddin was last updated on September 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.