Individual provider Active NPI

Elliott Metcalfe, MD

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1295703692
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65690 Issued in CA
Practice address
1330 Nelson Ave
Suite C
Modesto, CA 95350-5341
Phone
(209) 846-9444
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65690 CA Primary

Addresses

Primary practice location

1330 Nelson Ave
Suite C
Modesto, CA 95350-5341

Mailing address

10422 Carmel CT
Suite C
Oakdale, CA 95361-8921
Phone (209) 840-4094

Other identifiers 1

IdentifierTypeStateIssuer
GR0089790MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000220 CA Practitioner - Internal Medicine 0244144921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians

Practice addresses (Care Compare)

1205 E N St
Manteca, CA 95336-4932
Phone (209) 576-3525

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65690CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Hospitalist Medical Group, Inc Hospitalist CurrentSince Mar 1, 2021 Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients
McAlester Regional Hospitalist Hospitalist Past Accepting new patients

Locations

1234 McHenry Ave
Ste A
Modesto, CA 95350
Phone (209) 550-5213

Interoperability endpoints

  • Direct secure messaging: emetcalfe39039@hisp.ehr.sutterhealth.org
  • Direct secure messaging: elliott.metcalfe.1@29991.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1295703692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10422 CARMEL CT",
            "address_2": "SUITE C",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953618921",
            "telephone_number": "209-840-4094",
            "fax_number": "209-844-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NELSON AVE",
            "address_2": "SUITE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505341",
            "telephone_number": "209-846-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALFE",
        "first_name": "ELLIOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.