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Pedram Fatehi, MD

Nephrology · Stanford

NPI 1790927895

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Fatehi’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A103283 · Current

Licensed to practise in California · since 2008 · expires 2028-04-30 · University of Texas Medical School at San Antonio.

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.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$54,649

Medicare paid this office $54,649 for 154 people.

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

Largest Original Medicare bills
Critical care, first 30-74 minutes94$40,341$183
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$2,747$106
Hemodialysis procedure with physician evaluation25$2,722$60
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,114$70
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes32$2,058$43

Who their Medicare patients are

154 Original Medicare patients in 2024. Average age 71 · Under 65 20% · 85 and older 8% · Women 43% · Also on Medicaid 50% · Health risk score 4.90. Above the middle of the specialty; the typical nephrology clinician is at 4.01.

Conditions among them: High blood pressure 75% · Chronic kidney disease 69% · Heart failure 63% · Coronary heart disease 55% · Atrial fibrillation 50% · Diabetes 49% · Dementia 35% · Stroke 32% · COPD 31% · Depression 31% · Cancer 27%.

The office billed $489,500, Medicare allowed $69,550 and paid $54,649; for 423 services of 14 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
2024154423714.90$489,500$54,649
2023174406724.27$346,760$44,962
2022232674733.51$700,434$83,709
2021254675723.24$581,718$75,156
2020249698713.89$323,971$54,278
2019266737713.73$217,430$53,378
2018268698674.43$207,046$49,822
2017265711684.44$256,870$57,345
2016250670674.27$238,991$57,164
2015196561674.63$220,194$52,509
2014165444704.26$187,206$40,739
2013223658704.19$258,075$62,837

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: 9 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes55$23,410$187
Hemodialysis procedure with physician evaluation29$3,478$66
Dialysis procedure including 1 evaluation12$3,145$81
Return visit (30+ min)31$2,627$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$2,408$73
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes33$2,213$45
Long return visit (40+ min)16$2,072$115
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$1,948$108
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,554$120

2022: 10 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes93$53,454$194
Return visit (30+ min)47$4,810$82
Long return visit (40+ min)25$4,011$129
Dialysis procedure including 1 evaluation15$3,651$81
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes24$3,179$93
Hemodialysis procedure with physician evaluation26$3,065$67
Critical care, each additional 30 minutes17$2,360$98
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$2,143$65
Short return visit (20+ min)32$2,085$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes29$1,534$35

2021: 11 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes74$36,771$198
Return visit (30+ min)46$5,319$84
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes39$4,487$95
Hemodialysis procedure with physician evaluation33$4,454$67
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$4,448$66
Long return visit (40+ min)25$4,350$132
Dialysis procedure including 1 evaluation14$3,272$82
Short return visit (20+ min)32$2,273$55
Critical care, each additional 30 minutes13$2,002$100
New patient visit (60+ min)11$1,876$171
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,239$35

2020: 15 services

Original Medicare services billed in 2020
Dialysis procedure including 1 evaluation19$9,124$81
Hemodialysis procedure with physician evaluation42$5,937$67
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$5,870$67
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$4,795$96
Return visit (30+ min)49$4,644$69
Critical care, first 30-74 minutes12$4,415$201
New patient visit (45+ min)23$2,669$116
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes48$2,296$36
Short return visit (20+ min)34$1,706$43
Long return visit (40+ min)15$1,669$104
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,510$126
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,501$94
Return visit (30+ min)14$1,257$79
Short return visit (20+ min)12$809$62
Telehealth originating site facility fee17$360$21

2019: 14 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes61$7,789$66
Return visit (30+ min)62$6,244$69
Hemodialysis procedure with physician evaluation39$5,775$66
Dialysis procedure including 1 evaluation20$4,919$79
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$4,905$94
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes64$3,765$36
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,570$184
New patient visit (45+ min)22$2,566$117
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,475$124
Long return visit (40+ min)17$1,918$91
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes19$1,726$91
Short return visit (20+ min)33$1,718$44
Return visit (30+ min)21$1,716$71
Hospital discharge day management, 30 minutes or less19$1,283$68

2018: 13 services

Original Medicare services billed in 2018
Hemodialysis procedure with physician evaluation65$8,312$65
Dialysis procedure including 1 evaluation20$5,701$78
Return visit (30+ min)45$5,015$69
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$4,775$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes46$4,739$65
New patient visit (45+ min)38$4,190$110
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes47$3,250$35
Short return visit (20+ min)36$2,212$45
Long return visit (40+ min)18$2,031$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,645$117
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,257$90
New patient visit (45+ min)11$1,255$114
Hospital discharge day management, 30 minutes or less11$735$67

2017: 13 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes56$9,722$93
Hemodialysis procedure with physician evaluation68$9,593$64
Dialysis procedure including 1 evaluation20$5,379$78
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes57$5,312$65
Long return visit (40+ min)29$4,882$98
Initial hospital care with moderate level of medical decision making at least 75 minutes26$4,714$181
Return visit (30+ min)39$3,456$66
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,417$118
New patient visit (45+ min)27$2,888$107
New patient visit (60+ min)14$2,103$150
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes32$1,397$35
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes12$1,346$90
Short return visit (20+ min)23$1,141$44

2016: 13 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes67$14,526$93
Initial hospital care with moderate level of medical decision making at least 75 minutes38$6,840$180
Hemodialysis procedure with physician evaluation48$6,459$65
Long return visit (40+ min)39$5,771$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes58$5,207$64
Return visit (30+ min)40$3,161$67
Dialysis procedure including 1 evaluation15$2,906$76
New patient visit (60+ min)19$2,829$149
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,701$121
New patient visit (45+ min)15$1,462$97
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$977$35
Hospital discharge day management, 30 minutes or less13$855$66
Short return visit (20+ min)13$729$46

2015: 8 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes59$13,636$93
Initial hospital care with moderate level of medical decision making at least 75 minutes42$7,954$181
New patient visit (60+ min)43$6,275$146
Long return visit (40+ min)40$6,018$97
Hemodialysis procedure with physician evaluation47$5,667$64
Dialysis procedure including 1 evaluation19$5,457$77
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$2,768$62
Return visit (30+ min)21$1,530$67

2014: 8 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes57$11,700$92
Hemodialysis procedure with physician evaluation42$5,428$65
Initial hospital care with moderate level of medical decision making at least 75 minutes27$4,864$180
Long return visit (40+ min)26$3,459$99
Dialysis procedure including 1 evaluation14$3,355$78
New patient visit (60+ min)22$3,293$150
Return visit (30+ min)39$3,019$62
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,279$64

2013: 10 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes89$15,885$88
Critical care, first 30-74 minutes47$13,887$185
Hemodialysis procedure with physician evaluation54$7,129$62
Initial hospital care with moderate level of medical decision making at least 75 minutes40$6,848$171
Dialysis procedure including 1 evaluation16$4,148$75
Return visit (30+ min)39$4,073$64
Long return visit (40+ min)21$2,586$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$1,619$62
New patient visit (60+ min)11$1,597$145
Critical care, each additional 30 minutes13$1,593$94

Medicaid work

$22,410 in 2024

Medicaid paid $22,410 for 157 billed services this clinician did in 2024, up to 20 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
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes141$22,089
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES16$322
Medicaid work by year
2024157220$22,410
2022131216$16,426
2021203317$19,492
202025113$1,210
201871214$1,821
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes110$15,827
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional21$598

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes158$17,701
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional22$1,147
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES23$643

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES25$1,210

2018

Largest Medicaid services in 2018
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional29$1,211
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES42$610

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1790927895
Licence
CA A103283California A103283: Current · expires 2028-04-30
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Internal medicine (207R00000X); Federal specialty code 207RN0300X (207RN0300X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2009-04-03
NPI last updated
2024-07-02
NPI record certified
2024-07-02

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

This office lists an electronic records connection.