MARIA YOUSUF PATANWALA MD
NPI 1801387493
Internal Medicine in Santa Monica, CA

Active since May 20, 2018PECOS EnrolledAccepts Medicare Assignment
90.25/100
CMS Quality Rating
1245 16TH ST STE 125, SANTA MONICA, CA 90404(310) 315-8900(310) 315-8902 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Dec 22, 2021, May 20, 2018 (3 updates tracked since 2018).

About Maria Yousuf Patanwala Md NPPES

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

MARIA YOUSUF PATANWALA MD (NPI 1801387493) is an individual internal medicine provider in Santa Monica, California, licensed in California (A174589) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801387493
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIA YOUSUF PATANWALACredential: MD
Location Address1245 16TH ST STE 125Santa Monica, CA 90404-1240
Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90095-5631 · (310) 301-8707 · Fax (310) 301-8751
Fax(310) 315-8902
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 20, 2018
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1801387493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A174589
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1245 16TH ST STE 125, Santa Monica, CA 90404

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

Maria Yousuf Patanwala 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 ID2365791514
PECOS Enrollment IDI20220404001827
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.

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.
40 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

90.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.03
Promoting Interoperability99
Improvement Activities40
Cost81.64

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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Occupational Therapist
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Family Medicine (Hospice and Palliative Medicine)
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 125
SANTA MONICA, CA 90404
Pediatrics
1245 16TH ST STE 125
SANTA MONICA, CA 90404

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 Maria Patanwala's NPI number?

The NPI number for Maria Patanwala is 1801387493. It was assigned to this individual provider in the NPPES registry on May 20, 2018.

Where is Maria Patanwala located?

Maria Patanwala practices at 1245 16th St Ste 125, Santa Monica, CA 90404. The listed phone number is (310) 315-8900.

What is Maria Patanwala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maria Patanwala enrolled in Medicare?

Yes. Maria Patanwala 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 Maria Patanwala was last updated on April 12, 2022. 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.