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Nitin S Athavale, MD

Diagnostic Radiology · Santa Clara

NPI 1568540144

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital-Santa Clara. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Athavale’s office at (408) 851-1000 to ask if they take your plan before you enroll.

California Medical Board record

Licence G81707 · Current

Licensed to practise in California · since 1995 · expires 2027-01-31 · Howard University College of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Kaiser Foundation Hospital-Santa ClaraSanta Clara, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 75% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.38, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-Santa Clara

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 1 the same, 1 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-Santa Clara
Clostridium Difficile (C.Diff)Infections0.38BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0 to 2.09) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.61 to 1.42)No differentJul 2022 – Jun 2024
Death rate for stroke patientsComplications and deaths10.5 · 312 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 3,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 910 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 1,036 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.53 (2.03 to 7.03) · 235 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.57 (0 to 3.25) · 83 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.5 (0.82 to 4.18) · 178 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.73 (3.81 to 19.64) · 74 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.31 (1.3 to 9.32) · 94 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.22 to 3.28) · 37 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.34 (0 to 1.34) · 819 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.72No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.049No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.598No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.926No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13 · 589 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 828 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits107.6 · 27 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 642 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits7.8 · 249 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 181 casesNoneJul 2023 – Jun 2025

What patients said (572 patients answered, 25% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-Santa Clara
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital-Santa Clara
Room was "always" clean72%
Nurses "always" communicated well75%
Doctors "always" communicated well80%
Staff "always" explained57%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital75%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$3,235

Medicare paid this office $3,235 for 137 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
X-ray of chest, 1 view63$827$7
Ct scan head or brain without contrast11$283$26

Who their Medicare patients are

137 Original Medicare patients in 2024. Average age 71 · Under 65 23% · 85 and older 15% · Women 45% · Also on Medicaid 52% · Health risk score 2.25. Above the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.

Conditions among them: High blood pressure 75% · Diabetes 45% · Coronary heart disease 39% · Heart failure 35% · Chronic kidney disease 34% · Atrial fibrillation 31% · Dementia 24% · Stroke 23% · Depression 22% · COPD 18% · Cancer 14%.

The office billed $25,162, Medicare allowed $5,271 and paid $3,235; for 262 services of 44 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024137262712.25$25,162$3,235
2023103165721.82$19,288$2,619
2022112173682.33$21,469$2,775
202193152702.06$16,235$2,322
20206294692.62$10,494$1,568
201989141712.16$12,845$2,170
2018103132682.72$22,503$2,640
201763105692.48$10,648$1,417
20165774692.83$9,532$1,560
20154773722.23$17,505$1,644
20145473672.54$8,317$1,330
20133236682.08$4,798$603

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
X-ray of chest, 1 view42$439$7

2022: 2 services

Original Medicare services billed in 2022
X-ray of chest, 1 view39$423$8
X-ray of chest, 2 views15$117$8

2021: 1 service

Original Medicare services billed in 2021
X-ray of chest, 1 view39$371$7

2020: 1 service

Original Medicare services billed in 2020
X-ray of chest, 1 view28$264$7

2019: 1 service

Original Medicare services billed in 2019
X-ray of chest, 1 view42$373$8

2018: 1 service

Original Medicare services billed in 2018
X-ray of chest, 1 view39$302$7

2017: 1 service

Original Medicare services billed in 2017
X-ray of chest, 1 view, front30$241$7

2016: 1 service

Original Medicare services billed in 2016
X-ray of chest, 1 view, front25$202$7

2015: 1 service

Original Medicare services billed in 2015
X-ray of chest, 1 view, front22$193$7

2014: 1 service

Original Medicare services billed in 2014
X-ray of chest, 1 view, front23$215$8

2013: 1 service

Original Medicare services billed in 2013
X-ray of chest, 1 view, front13$87$7

Medicaid work

$10,587 in 2024

Medicaid paid $10,587 for 777 billed services this clinician did in 2024, up to 42 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Radiologic examination, chest; 2 views279$6,674
Radiologic examination, chest; single view453$2,487
Computed tomography, head or brain; without contrast material12$1,350
X-ray of abdomen, 1 view33$77
Medicaid work by year
2024777442$10,587
2023385228$510
2022410225$493
2021243226$327
2020276128$338
2019244131$199
2018107121$146
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Radiologic examination, chest; single view235$314
Radiologic examination, chest; 2 views150$196

2022

Largest Medicaid services in 2022
Radiologic examination, chest; single view301$466
Radiologic examination, chest; 2 views109$27

2021

Largest Medicaid services in 2021
Radiologic examination, chest; single view226$318
Radiologic examination, chest; 2 views17$8

2020

Largest Medicaid services in 2020
Radiologic examination, chest; single view276$338

2019

Largest Medicaid services in 2019
Radiologic examination, chest; single view244$199

2018

Largest Medicaid services in 2018
Radiologic examination, chest; single view107$146

Professional record

NPI
1568540144
Licence
CA G81707California G81707: Current · expires 2027-01-31
Trained
Howard University College of Medicine, 1991
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Diagnostic radiology (2085R0202X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-11-01
NPI last updated
2021-12-13

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.