SUKRUTI VISHAL UDESHI MD
NPI 1821582149
Family Medicine in Novato, CA
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sukruti Udeshi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 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 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.
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.
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.
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.
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.
Which organization bills Medicare for Sukruti Udeshi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sukruti Udeshi reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, 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 Sukruti Udeshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sukruti Udeshi was last updated on January 13, 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.
# Sukruti Vishal Udeshi, MD · NPI 1821582149
Family Medicine physician in Novato, California. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1821582149 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 1243779 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 ROWLAND WAY STE 200, Novato, CA 94945-5056
- **Phone:** (415) 878-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** January 13, 2022
- **Other identifiers:** Other A174028 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1821582149) · Data from the CMS NPPES public registry.