TRACI ISE IWAMOTO M.D.
NPI 1841566767
Obstetrics & Gynecology in San Francisco, CA

Q: What is Traci Iwamoto's NPI number?

The NPI number for Traci Iwamoto is 1841566767. It was assigned to this individual provider in the NPPES registry on March 25, 2012.

Q: What is Traci Iwamoto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Traci Iwamoto was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 25, 2012PECOS Enrolled

1855 4TH ST FL 3, SAN FRANCISCO, CA 94143(415) 353-2566 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Oct 12, 2020 (2 updates tracked since 2020).

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About Traci Ise Iwamoto M.d. NPPES

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

TRACI ISE IWAMOTO M.D. (NPI 1841566767) is an individual obstetrics & gynecology provider in San Francisco, California, licensed in Louisiana (303019) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Metarie, and is a graduate of University Of New Mexico School Of Medicine (2012).

NPPES Registry Identity

NPI1841566767

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTRACI ISE IWAMOTOCredential: M.D.

Location Address1855 4TH ST FL 3San Francisco, CA 94143-2350

Mailing Address4228 Houma Blvd Suite 410Metarie, LA 70006 · (504) 883-3770 · Fax (504) 883-3711

Phone(415) 353-2566

Sole ProprietorYes

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2012

Enumeration DateMarch 25, 2012

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1841566767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in LA · 303019

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Practice Location 1

Location 14228 Houma Blvd Suite 410Metarie, LA 70006 · Phone (504) 883-3770 · Fax (504) 883-3711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci Ise Iwamoto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678866472

PECOS Enrollment IDI20201015002438

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.

Medicare Billing Reassignments

Medicare enrollment records show Traci Iwamoto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Univ Of California Ucsf

Internal Medicine

505 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
339 clinicians in this Medicare group

NPI 1124439807 (415) 476-1000

Ucsf Medical Group Business Services

Internal Medicine

400 PARNASSUS AVE
San Francisco, CA 94122

Reassigned Medicare billing, California enrollment
5,544 clinicians in this Medicare group

NPI 1477624104 (415) 353-2808

University Of California San Francisco

Internal Medicine

400 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
5,645 clinicians in this Medicare group

NPI 1164512851 (415) 476-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 11

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

NICOLA CLAIRE PERLMAN

Obstetrics & Gynecology (Maternal & Fetal Medicine)