DR. NINA NI (MD) – Ophthalmology Physician, NPI 1780959734

DR. NINA NI (MD) is a healthcare provider. based in Santa rosa, California. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 137049 (CA). The NPI Number for DR. NINA NI (MD) is 1780959734

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. NINA NI (MD)
NPI
1780959734
Phone
(707) 546-9800
Address
1017 2ND ST
Enumeration Date
9 March 2012
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7075469800
Graduation Year
2011 (15 years ago)
PAC ID
9830321819
Group Practice PAC ID
7315010766
Professional Enrollment ID
I20150713003206
Address ID
CA954033037SA3035XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

Provider Addresses for DR. NINA NI (MD)

  • 1017 2ND ST

    SANTA ROSA, CA 954046608

    Phone: (707) 546-9800

    Type: Mailing

  • 3035 CLEVELAND AVE STE 100

    SANTA ROSA, CA 954033037

    Phone: (707) 546-9800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Alcon Vision LLC ($77).

Total Amount

$249

General + Research + Ownership

Payments

12

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150713003206IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes376258$0
92014Established patient complete exam of visual system361351$0
92012Established patient problem focused exam of visual system344262$0
92136Measurement of corneal curvature and depth of eye265193$0
66984Removal of cataract with insertion of prosthetic lens225138$0
View full utilization report →

Insurance plans in this area (ZIP 95404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315010766View full group profile
NameSpecialtyState
-CA
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YNJ
-CA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

What identifier follows DR. NINA NI (MD) across health systems?
The NPI 1780959734 uniquely identifies DR. NINA NI (MD) in U.S. healthcare data.
Does the public listing show DR. NINA NI (MD) as active?
DR. NINA NI (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. NINA NI (MD)'s specialty?
The extract shows Ophthalmology Physician for DR. NINA NI (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. NINA NI (MD) in Santa Rosa, California?
For routing, start with Santa Rosa, California for DR. NINA NI (MD), then verify phone and hours locally.
Why is information missing for DR. NINA NI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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