NIKHIL M APTE MD
NPI 1972552206
Internal Medicine in Pleasanton, CA

Q: What is Nikhil Apte's NPI number?

The NPI number for Nikhil Apte is 1972552206. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Nikhil Apte's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nikhil Apte was last updated on February 28, 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.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

5575 W LAS POSITAS BLVD, SUITE 130, PLEASANTON, CA 94588(925) 463-0590(925) 454-4284 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nikhil M Apte Md NPPES

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

NIKHIL M APTE MD (NPI 1972552206) is an individual internal medicine provider in Pleasanton, California, licensed in California (A85281) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Livermore, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1972552206

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNIKHIL M APTECredential: MD

Location Address5575 W LAS POSITAS BLVD, SUITE 130Pleasanton, CA 94588-5801

Mailing Address5575 W Las Positas Blvd, Suite 130Pleasanton, CA 94588-5801 · (925) 463-0590 · Fax (925) 454-4284

Phone(925) 463-0590

Fax(925) 454-4284

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 5, 2006

Last NPPES UpdateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1972552206 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 · A85281

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.

5575 W LAS POSITAS BLVD, Pleasanton, CA 94588

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Secondary Practice Location 1

Location 11133 East Stanley Blvd, # 101Livermore, CA 94550 · Phone (925) 454-4280 · Fax (925) 454-4284

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

Nikhil M Apte 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 ID3072559798

PECOS Enrollment IDI20050705000466

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 14

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

780 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

678 services400 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

527 services84 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

409 services278 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

140 services140 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

95 services80 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

94 services78 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

89 services60 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

55 services25 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

52 services50 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

48 services46 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

16 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

22 suppliers67 claims181 services$5.40 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers34 claims51 services$1.02 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier13 claims26 services$4.08 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

1 supplier41 claims76 services$4.55 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers12 claims18 services$43.64 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295

DME-Hospital Beds · category DB000N

1 supplier16 claims17 services$41.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MS. ARLENE MELVILLE R.N.N.P.

Nurse Practitioner (Women's Health)

5575 W LAS POSITAS BLVD, #330
PLEASANTON, CA 94588

Alameda County (925) 734-6655

MRS. JULIANA ROSE CINQUE MD

Dermatology

5575 W LAS POSITAS BLVD, 220
PLEASANTON, CA 94588

Alameda County (925) 416-1122

RAKHEE N. SHAH, MD, A MEDICAL CORPORATION

Surgery (Surgical Oncology)

5575 W LAS POSITAS BLVD, 270
PLEASANTON, CA 94588

Alameda County (925) 460-3883

JONATHAN R LIM MD

Family Medicine

5575 W LAS POSITAS BLVD, # 130
PLEASANTON, CA 94588

Alameda County (925) 463-0590

RAMAN NAMBISAN MD

Surgery

5575 W LAS POSITAS BLVD, #270
PLEASANTON, CA 94588

Alameda County (925) 460-3883

DR. MICHAEL RAYMOND GAGNON MD

Ophthalmology

5575 W LAS POSITAS BLVD, SUITE 240
PLEASANTON, CA 94588

Alameda County (925) 460-5000

TRI-VALLEY PHYSICIANS

Internal Medicine

5575 W LAS POSITAS BLVD, #130
PLEASANTON, CA 94588

Alameda County (925) 463-0590

DR. GINA MARIE TRENTACOSTI OD

Optometrist

5575 W LAS POSITAS BLVD, #240
PLEASANTON, CA 94588

Alameda County (925) 460-5000

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 Nikhil Apte's NPI number?

The NPI number for Nikhil Apte is 1972552206. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Nikhil Apte located?

Nikhil Apte practices at 5575 W Las Positas Blvd Suite 130, Pleasanton, CA 94588. The listed phone number is (925) 463-0590.

What is Nikhil Apte's specialty?

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

Is Nikhil Apte enrolled in Medicare?

Yes. Nikhil Apte 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 Nikhil Apte was last updated on February 28, 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.