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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Ophthalmology
20046 LAKE CHABOT RD
Castro Valley, CA 94546
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group

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 17

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 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.

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

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 Nisreen Kothari's NPI number?

The NPI number for Nisreen Kothari is 1730445644. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Nisreen Kothari located?

Nisreen Kothari practices at 15051 Hesperian Blvd Ste A, San Leandro, CA 94578. The listed phone number is (510) 276-1212.

What is Nisreen Kothari's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nisreen Kothari enrolled in Medicare?

Yes. Nisreen Kothari 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 Nisreen Kothari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisreen Kothari reassigns Medicare benefits to Eye Specialties Medical Group Inc. (Castro Valley, 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 Nisreen Kothari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisreen Kothari accept?

Health plans from Providence Health Plan list Nisreen Kothari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nisreen Kothari was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.