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SUNITA MISTRY MD
NPI 1962412551
Internal Medicine in Oakland, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 EAST 31ST STREET, OAKCARE MEDICAL GROUP, OAKLAND, CA 94602(510) 437-4323(510) 437-5042 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunita Mistry Md NPPES

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

SUNITA MISTRY MD (NPI 1962412551) is an individual internal medicine provider in Oakland, California, licensed in California (A72419) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1962412551
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUNITA MISTRYCredential: MD
Location Address1411 EAST 31ST STREET, OAKCARE MEDICAL GROUPOakland, CA 94602
Mailing Address1411 East 31st Street, Oakcare Medical GroupOakland, CA 94602 · (510) 437-4323 · Fax (510) 437-5042
Phone(510) 437-4323
Fax(510) 437-5042
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1962412551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A72419
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.
1411 EAST 31ST STREET, Oakland, CA 94602
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Other Identifiers 3

Medicare UPINH53913
Medicaid00A724190CA
Medicare ID-Type Unspecified00A724190CA

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

Sunita Mistry 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 ID2668553694
PECOS Enrollment IDI20080116000414
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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
128 services55 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$9.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$50.38 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 20

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

DAVID PAUL HOFFMAN MD
Pediatrics
1411 EAST 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4323
LAWRENCE THOMAS RICHARDS MD
Specialist
1411 EAST 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4323
LINDSEY DEPUTY RN, MS, CNS
Registered Nurse (Oncology)
1411 EAST 31ST STREET, HCP 5 SPECIALTY CLINICS - HEMATOLOGY ONCOLOGY
OAKLAND, CA 94602
Alameda County (510) 437-4527
MRS. JAMIE LEE TALWAR CRNA
Nurse Anesthetist, Certified Registered
1411 EAST 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-3667
BONNIE L FLEMMING MD
Obstetrics & Gynecology
1411 EAST 31ST STREET, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
ALAMEDA COUNTY MEDICLA CENTER
General Acute Care Hospital (Critical Access)
1411 EAST 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4323
MRS. JULIE MA WILLKOM RN
Registered Nurse (Ambulatory Care)
1411 EAST 31ST STREET, HIGHLAND CARE PAVILION, TB CLINIC, 5TH FLOOR
OAKLAND, CA 94602
Alameda County (510) 437-6466
MR. BARNARD JAMES AGANA PALMER M.D.
Surgery
1411 EAST 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4800

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 Sunita Mistry's NPI number?

The NPI number for Sunita Mistry is 1962412551. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Sunita Mistry located?

Sunita Mistry practices at 1411 East 31st Street Oakcare Medical Group, Oakland, CA 94602. The listed phone number is (510) 437-4323.

What is Sunita Mistry's specialty?

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

Is Sunita Mistry enrolled in Medicare?

Yes. Sunita Mistry 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 Sunita Mistry was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.