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PRATIBHA KAYASTHA
NPI 1942601281
Nurse Practitioner - Family in Upland, CA

Active since September 05, 2014PECOS Enrolled
46.9/100
CMS Quality Rating
585 N MOUNTAIN AVE, SUITE A, UPLAND, CA 91786(909) 946-2228(909) 946-8007 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pratibha Kayastha NPPES

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

PRATIBHA KAYASTHA (NPI 1942601281) is an individual family provider in Upland, California, licensed in California (827747) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942601281
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRATIBHA KAYASTHA
Location Address585 N MOUNTAIN AVE, SUITE AUpland, CA 91786-8516
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573
Phone(909) 946-2228
Fax(909) 946-8007
Sole ProprietorNo
Enumeration DateSeptember 5, 2014
✔ NPI 1942601281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 827747
585 N MOUNTAIN AVE, Upland, CA 91786
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratibha Kayastha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Pratibha Kayastha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chaparral Medical Group, Inc.
Same address
Dermatology
585 N MOUNTAIN AVE, SUITE C
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1639869605 (California)
  • 99 clinicians in this Medicare group
NPI 1558689794 (909) 981-8599
Carrasco Podiatry Corporation
8.7 mi
Podiatrist
7196 SUNNYSIDE PL
Rancho Cucamonga, CA 91739
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
NPI 1043339260 (951) 212-6661
Providence Podiatry Care, Inc
23 mi
Foot & Ankle Surgery
473 E CARNEGIE DRIVE, SUITE 200
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1376202986 (909) 244-7430
Wound Physicians Of California PC
33 mi
Geriatric Medicine
23141 VERDUGO DR STE 201
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1235916420 (949) 215-5055

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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
238 services34 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
139 services14 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
116 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
71 services21 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.74
Promoting Interoperability0
Improvement Activities40
Cost19.28

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.

MICHELLE JESSICA CARHILL NP
Nurse Practitioner
585 N MOUNTAIN AVE
UPLAND, CA 91786
San Bernardino County (909) 608-7546
INLAND EMPIRE MEDICAL NETWORK,INC.
Family Medicine
585 N MOUNTAIN AVE, SUITE C
UPLAND, CA 91786
San Bernardino County (909) 981-8599
MR. ANTHONY JAMES ANTENORCRUZ JR. PA-C
Physician Assistant
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
San Bernardino County (909) 946-2228
MRS. SHANNON LAMBERT MPAS, PA-C
Physician Assistant
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
San Bernardino County (909) 946-2228
CHAPARRAL MEDICAL GROUP, INC.
Dermatology
585 N MOUNTAIN AVE, SUITE C
UPLAND, CA 91786
San Bernardino County (909) 981-8599
CELINA CHAU LAC
Acupuncturist
585 N MOUNTAIN AVE, SUITE C-1
UPLAND, CA 91786
San Bernardino County (909) 985-4372
CHARLES M. TRAN D.O.
Dermatology (Procedural Dermatology)
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
San Bernardino County (909) 946-2228
KRISTIN MICKELSON PA-C
Physician Assistant (Medical)
585 N MOUNTAIN AVE, SUITE A
UPLAND, CA 91786
San Bernardino County (909) 946-2228

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 Pratibha Kayastha's NPI number?

The NPI number for Pratibha Kayastha is 1942601281. It was assigned to this individual provider in the NPPES registry on September 5, 2014.

Where is Pratibha Kayastha located?

Pratibha Kayastha practices at 585 N Mountain Ave Suite A, Upland, CA 91786. The listed phone number is (909) 946-2228.

What is Pratibha Kayastha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pratibha Kayastha enrolled in Medicare?

Yes. Pratibha Kayastha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pratibha Kayastha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Kayastha reassigns Medicare benefits to 4 organizations: Chaparral Medical Group, Inc. (Upland, CA), Carrasco Podiatry Corporation (Rancho Cucamonga, CA), Providence Podiatry Care, Inc (San Bernardino, CA) and Wound Physicians Of California PC (Laguna Hills, CA). Each 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 Pratibha Kayastha'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 Pratibha Kayastha was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.