NISREEN MESIWALA KOTHARI MD
NPI 1730445644
Ophthalmology in San Leandro, CA

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
15051 HESPERIAN BLVD STE A, SAN LEANDRO, CA 94578(510) 276-1212 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 23, 2018, Mar 17, 2018, Feb 1, 2017 (3 updates tracked since 2017).

About Nisreen Mesiwala Kothari Md NPPES

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

NISREEN MESIWALA KOTHARI MD (NPI 1730445644) is an individual ophthalmology provider in San Leandro, California, licensed in California (A144488) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Michigan Medical School (2011).

NPPES Registry Identity

NPI1730445644
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNISREEN MESIWALA KOTHARICredential: MD
Location Address15051 HESPERIAN BLVD STE ASan Leandro, CA 94578
Mailing Address250 King St Unit 432San Francisco, CA 94107-5488 · (248) 760-9236
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2011
Enumeration DateApril 4, 2012
Last NPPES UpdateJuly 23, 20183 updates tracked since enumeration
NPI 1730445644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A144488 Licensed in NM · RS2014-0672 Licensed in MA · 262309 Licensed in PA · 0
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

15051 HESPERIAN BLVD STE A, San Leandro, CA 94578

Secondary Practice Locations 2

Location 11899 W March LnStockton, CA 95207-6402 · Phone (209) 623-4700
Location 2162 Clinton StRedwood City, CA 94062-1552 · Phone (650) 369-2529 · Fax (650) 369-5400

Accepted Insurance

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

Nisreen Mesiwala Kothari Md 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 ID648583260
PECOS Enrollment IDI20170216001326
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
710 services520 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
600 services571 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
564 services394 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
299 services265 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
286 services277 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
152 services152 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94578 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
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Optometrist
15051 HESPERIAN BLVD STE A
SAN LEANDRO, CA 94578
Ophthalmology
15051 HESPERIAN BLVD STE A
SAN LEANDRO, CA 94578

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730445644, enumerated as an "individual" on April 04, 2012.

The provider is located at 15051 HESPERIAN BLVD STE A SAN LEANDRO, CA 94578 and the phone number is (510) 276-1212.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.