SUKRUTI VISHAL UDESHI MD
NPI 1821582149
Family Medicine in Novato, CA

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
101 ROWLAND WAY STE 200, NOVATO, CA 94945(415) 878-7200 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2022, Oct 22, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Sukruti Vishal Udeshi Md NPPES

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

SUKRUTI VISHAL UDESHI MD (NPI 1821582149) is an individual family medicine provider in Novato, California, licensed in California (1243779) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Virginia Commonwealth University, School Of Medicine (2018).

NPPES Registry Identity

NPI1821582149
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUKRUTI VISHAL UDESHICredential: MD
Location Address101 ROWLAND WAY STE 200Novato, CA 94945-5056
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 878-7200 · Fax (415) 369-1387
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1821582149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 1243779
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

101 ROWLAND WAY STE 200, Novato, CA 94945

Secondary Practice Locations 2

Location 15300 Snyder LnRohnert Park, CA 94928-2915 · Phone (707) 585-8347 · Fax (707) 573-5424
Location 21383 N McDowell Blvd Ste 150Petaluma, CA 94954-7118 · Phone (707) 308-2840 · Fax (707) 573-5376

Other Identifiers 1

OtherA174028CA · State Medical License

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

Sukruti Vishal Udeshi 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 ID5991053019
PECOS Enrollment IDI20211102002763
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 9

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.
274 services181 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 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.
50 services49 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
41 services41 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims52 services$5.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$0.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
101 ROWLAND WAY STE 200
NOVATO, CA 94945
Internal Medicine
101 ROWLAND WAY STE 200
NOVATO, CA 94945
Internal Medicine
101 ROWLAND WAY STE 200
NOVATO, CA 94945

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 Sukruti Udeshi's NPI number?

The NPI number for Sukruti Udeshi is 1821582149. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Sukruti Udeshi located?

Sukruti Udeshi practices at 101 Rowland Way Ste 200, Novato, CA 94945. The listed phone number is (415) 878-7200.

What is Sukruti Udeshi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sukruti Udeshi enrolled in Medicare?

Yes. Sukruti Udeshi 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 Sukruti Udeshi was last updated on January 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.