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DR. NILIMA H MAMTORA MD
NPI 1629019286
Obstetrics & Gynecology in Anaheim, CA

Active since June 08, 2006PECOS EnrolledCLIA 05D0951023 · Waiver
531 S HARBOR BLVD, ANAHEIM, CA 92805(714) 956-3535 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nilima H Mamtora Md NPPES

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

DR. NILIMA H MAMTORA MD (NPI 1629019286) is an individual obstetrics & gynecology provider in Anaheim, California, licensed in California (00A505820) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 9, 2026, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1629019286
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. NILIMA H MAMTORACredential: MD
Location Address531 S HARBOR BLVDAnaheim, CA 92805-4525
Mailing Address531 S Harbor BlvdAnaheim, CA 92805-4525 · (714) 956-3535 · Fax (714) 956-3078
Phone(714) 956-3535
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 28, 2011
✔ NPI 1629019286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · 00A505820
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
531 S HARBOR BLVD, Anaheim, CA 92805
Open in Google Maps ↗

Other Identifiers 3

Other203BX0001XCA · Spec Code
Medicare ID-Type UnspecifiedA505820CA
Medicare UPING49066CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nilima H Mamtora Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971761313
PECOS Enrollment IDI20120222000240
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0951023

Nilima H Mamtora MD Women To Women Medical Group · Anaheim, CA
Active · expires Sep 9, 2026
CLIA Number05D0951023
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorNilima H. Mambra MD
Laboratory Phone(714) 956-3535
Laboratory LocationNilima H Mamtora MD Women To Women Medical Group531 S Harbor Blvd, Anaheim, CA 92805
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services56 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92805 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
37%383 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
78%1,289 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%1,378 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 87% · 817 patients
Patients tobacco: 6% · 31 patients
83%817 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

W 2 W MEDICAL GROUP INC
Obstetrics & Gynecology
531 S HARBOR BLVD
ANAHEIM, CA 92805
Orange County (714) 956-3535

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 Nilima Mamtora's NPI number?

The NPI number for Nilima Mamtora is 1629019286. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Nilima Mamtora located?

Nilima Mamtora practices at 531 S Harbor Blvd, Anaheim, CA 92805. The listed phone number is (714) 956-3535.

What is Nilima Mamtora's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nilima Mamtora enrolled in Medicare?

Yes. Nilima Mamtora is registered in the Medicare PECOS enrollment system.

Does Nilima Mamtora hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0951023) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nilima Mamtora was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.