NATALIE YUWONO TJOTA MD
NPI 1699355016
Internal Medicine - Geriatric Medicine in San Francisco, CA

Q: What is Natalie Tjota's NPI number?

The NPI number for Natalie Tjota is 1699355016. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Natalie Tjota's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Tjota was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 09, 2021PECOS Enrolled

4150 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2024, Apr 9, 2021 (2 updates tracked since 2021).

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About Natalie Yuwono Tjota Md NPPES

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

NATALIE YUWONO TJOTA MD (NPI 1699355016) is an individual geriatric medicine provider in San Francisco, California, licensed in California (195435) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2021).

NPPES Registry Identity

NPI1699355016

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameNATALIE YUWONO TJOTACredential: MD

Location Address4150 CLEMENT STSan Francisco, CA 94121-1563

Mailing Address338 Spear St Unit 4gSan Francisco, CA 94105-6167

Phone(415) 221-4810

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2021

Enumeration DateApril 9, 2021

Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1699355016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · 195435

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4150 CLEMENT ST, San Francisco, CA 94121

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Yuwono Tjota Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961948021

PECOS Enrollment IDI20251021002335

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 Reassignment

Medicare enrollment records show Natalie Tjota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

International Community Health Services

660 mi

Federally Qualified Health Center (FQHC)

4238 AUBURN WAY N
Auburn, WA 98002

Reassigned Medicare billing, Washington enrollment
121 clinicians in this Medicare group

NPI 1831910439 (253) 444-0106

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 94121 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

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 20

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

MR. SHANNON KISSINGER MSW

Social Worker