NUSRAT UDDIN TANNI MD
NPI 1912673849
Internal Medicine in West Sacramento, CA

Q: What is Nusrat Uddin Tanni's NPI number?

The NPI number for Nusrat Uddin Tanni is 1912673849. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Q: What is Nusrat Uddin Tanni's specialty?

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

Active since August 20, 2021PECOS EnrolledAccepts Medicare Assignment

155 15TH ST STE A, WEST SACRAMENTO, CA 95691(916) 454-2345 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2025, Aug 20, 2021 (2 updates tracked since 2021).

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About Nusrat Uddin Tanni Md NPPES

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

NUSRAT UDDIN TANNI MD (NPI 1912673849) is an individual internal medicine provider in West Sacramento, California, licensed in California (200000) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912673849

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNUSRAT UDDIN TANNICredential: MD

Location Address155 15TH ST STE AWest Sacramento, CA 95691-3737

Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 454-2345

Phone(916) 454-2345

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 20, 2021

Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1912673849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 200000

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.

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

155 15TH ST STE A, West Sacramento, CA 95691

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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

Nusrat Uddin Tanni 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 ID3072910983

PECOS Enrollment IDI20250225003481

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 Reassignment

Medicare enrollment records show Nusrat Uddin Tanni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elica Health Centers

Same address

Federally Qualified Health Center (FQHC)

155 15TH ST STE A
West Sacramento, CA 95691

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

NPI 1548425853 (916) 454-2345

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 95691 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 8

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

GRACE TIDWELL MD

Family Medicine

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (916) 454-2345

ELICA HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (916) 454-2345

SHAUGHN MITCHELL HEAD MD

Pediatrics

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (916) 454-2345

MS. MARINA ROBLES LCSW

Social Worker

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (855) 354-2242

ERICA RAMIREZ P.A

Physician Assistant

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (916) 454-2345

SARAH ELIZABETH RAMOS AGUILAR NP

Nurse Practitioner (Family)

155 15TH ST STE A
W SACRAMENTO, CA 95691

Yolo County (916) 569-8484

VERA PAVLOVNA KONDRASHOV

Physician Assistant

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (855) 354-2242

TATYANA DECK PA

Physician Assistant (Medical)

155 15TH ST STE A
WEST SACRAMENTO, CA 95691

Yolo County (916) 454-2345

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 Nusrat Uddin Tanni's NPI number?

The NPI number for Nusrat Uddin Tanni is 1912673849. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Nusrat Uddin Tanni located?

Nusrat Uddin Tanni practices at 155 15th St Ste A, West Sacramento, CA 95691. The listed phone number is (916) 454-2345.

What is Nusrat Uddin Tanni's specialty?

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

Is Nusrat Uddin Tanni enrolled in Medicare?

Yes. Nusrat Uddin Tanni 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 Nusrat Uddin Tanni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nusrat Uddin Tanni reassigns Medicare benefits to Elica Health Centers (West Sacramento, 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 Nusrat Uddin Tanni'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 Nusrat Uddin Tanni was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.