KAVITA V. MAMTORA MD
NPI 1740364728
Radiology - Diagnostic Radiology in Santa Rosa, CA

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 571-4000 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kavita V. Mamtora Md NPPES

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

KAVITA V. MAMTORA MD (NPI 1740364728) is an individual diagnostic radiology provider in Santa Rosa, California, licensed in California (A83570) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1740364728
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKAVITA V. MAMTORACredential: MD
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 9, 2021
NPI 1740364728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A83570
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403

Other Identifiers 1

Medicaid00A835700CA

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

Kavita V. Mamtora 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 ID8022913714
PECOS Enrollment IDI20031204001267
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 3

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
24 services23 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
13 services13 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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.

Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

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 Kavita Mamtora's NPI number?

The NPI number for Kavita Mamtora is 1740364728. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Kavita Mamtora located?

Kavita Mamtora practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4000.

What is Kavita Mamtora's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kavita Mamtora enrolled in Medicare?

Yes. Kavita Mamtora 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.

When was this NPI record last updated?

The NPPES record for Kavita Mamtora was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.