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MAMATABEN SURAJ PATEL FNP
NPI 1710512124
Nurse Practitioner in Pleasanton, CA

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment
4256 HACIENDA DR STE 100, PLEASANTON, CA 94588(925) 264-6510 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2025, Nov 26, 2025, Nov 21, 2025 and 2 more (5 updates tracked since 2020).

About Mamataben Suraj Patel Fnp NPPES

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

MAMATABEN SURAJ PATEL FNP (NPI 1710512124) is an individual nurse practitioner in Pleasanton, California, licensed in California (95013048) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710512124
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAMATABEN SURAJ PATELCredential: FNP
Location Address4256 HACIENDA DR STE 100Pleasanton, CA 94588-8595
Mailing Address4256 Hacienda Dr Ste 100Pleasanton, CA 94588-8595 · (925) 264-6510
Phone(925) 264-6510
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 5, 2020
Last NPPES UpdateDecember 12, 20255 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1710512124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95013048
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4256 HACIENDA DR STE 100, Pleasanton, CA 94588
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Other Names 1

Former Name (1)Mamataben Bhanderi

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

Mamataben Suraj Patel Fnp 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 ID42640476
PECOS Enrollment IDI20200424002615
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 Mamataben Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Healthcare Alliance
14 mi
Internal Medicine
7999 GATEWAY BLVD STE 200
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
NPI 1760531198 (888) 924-1036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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 6

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

DR. JAMES BRANDON THOMPSON DO
Student in an Organized Health Care Education/Training Program
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
BINH NGUYEN
Student in an Organized Health Care Education/Training Program
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
DR. BENJAMIN PAUL WAGNER MD
Pediatrics
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
MAYA EYLON MD
Student in an Organized Health Care Education/Training Program
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
KENNETH EDEM JOB MD
Family Medicine
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 264-6510
RUIKANG LIU MD
Pediatrics
4256 HACIENDA DR STE 100
PLEASANTON, CA 94588
Alameda County (925) 263-0313

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 Mamataben Patel's NPI number?

The NPI number for Mamataben Patel is 1710512124. It was assigned to this individual provider in the NPPES registry on March 5, 2020. The provider is also known as Mamataben Bhanderi.

Where is Mamataben Patel located?

Mamataben Patel practices at 4256 Hacienda Dr Ste 100, Pleasanton, CA 94588. The listed phone number is (925) 264-6510.

What is Mamataben Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mamataben Patel enrolled in Medicare?

Yes. Mamataben Patel 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 organization bills Medicare for Mamataben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamataben Patel reassigns Medicare benefits to University Healthcare Alliance (Newark, CA). The 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 Mamataben Patel'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 Mamataben Patel was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.