TINA NIKOOMANESH DO
NPI 1801390042
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Diego, CA

Q: What is Tina Nikoomanesh's NPI number?

The NPI number for Tina Nikoomanesh is 1801390042. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Tina Nikoomanesh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Tina Nikoomanesh was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment

4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Jun 14, 2023, Mar 21, 2018 (3 updates tracked since 2018).

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About Tina Nikoomanesh Do NPPES

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

TINA NIKOOMANESH DO (NPI 1801390042) is an individual endocrinology, diabetes & metabolism provider in San Diego, California, licensed in California (20A17855) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Camarillo, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801390042

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameTINA NIKOOMANESHCredential: DO

Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105

Mailing Address4077 Fifth Ave # Mer35San Diego, CA 92103-2105

Phone(619) 294-8111

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 21, 2018

Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1801390042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in CA · 20A17855

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4077 FIFTH AVE # MER35, San Diego, CA 92103

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Secondary Practice Location 1

Location 1422 Arneill Rd Ste BCamarillo, CA 93010-6434 · Phone (805) 482-1282

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

Tina Nikoomanesh Do 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 ID7012389539

PECOS Enrollment IDI20230209002950

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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

248 services115 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

84 services84 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

74 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

55 services31 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.

39 services31 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

32 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

DR. PRANAY RAG BONAGIRI DO

Internal Medicine