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Judith F Ashouri Sinha, MD

Rheumatology · San Francisco

NPI 1841507506

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
2 carriers
Offices
2
Since medical school
18 years
University of California, San Francisco School of Medicine, 2008

Offices

2 locations · University of California San Francisco · Regents of the University of California

Looking this up.

Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.

Plans that list them

12 plans · 2 carriers

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

12 of 12 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A109504 · Current

Licensed to practise in California · since 2009 · expires 2026-10-31 · University of California San Francisco School of Medicine.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Internal Medicine
  • American Board of Internal Medicine - Rheumatology

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.

  • UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for UCSF Medical Center

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: 3 better, 5 the same, 3 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 UCSF Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.9 (3.79 to 6.02) · 7,590 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.3 to 14.4) · 2,019 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths139.4 (110.22 to 168.58) · 452 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.622BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.626BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.491BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,336 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.58 to 1.9) · 4,689 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.89 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.5 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.6 · 454 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 618 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,000 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.06 to 0.38) · 15,965 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.05 to 0.35) · 17,859 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.85 (0 to 1.83) · 4,184 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2 (1.1 to 2.9) · 6,516 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.35 (4.49 to 10.21) · 3,989 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5 (3.22 to 6.77) · 4,087 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.95 (0.74 to 3.15) · 2,034 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.95 (0.63 to 1.28) · 15,431 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 399 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.899No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.689No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.224No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 564 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits60.3 · 160 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 550 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.1 · 660 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 667 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (4.8 to 6.7) · 2,019 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6 · 421 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 107 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.3 to 17.1) · 3,247 casesNo differentJan 2022 – Dec 2024

What patients said (3,181 patients answered, 25% of those asked)

Patient survey stars by topic at UCSF Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at UCSF Medical Center
Room was "always" clean71%
Nurses "always" communicated well80%
Doctors "always" communicated well80%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$11,887

Medicare paid this office $11,887 for 37 people. Most of that is long return visits and Botox.

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

Largest Original Medicare bills
Long return visit (40+ min)30$7,276$115
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's31$931$14
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or14$865$28

Who their Medicare patients are

37 Original Medicare patients in 2024. Average age 69 · Also on Medicaid 43% · Health risk score 1.81. Above the middle of the specialty; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 65%.

The office billed $88,521, Medicare allowed $16,025 and paid $11,887; for 231 services of 17 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
202437231691.81$88,521$11,887
202346171702.24$89,938$13,322
202252206672.39$105,450$15,896
202141131661.53$82,665$12,523
20203589631.78$57,446$7,619
201937105632.49$66,247$8,259
20183894612.62$63,694$8,285
20173272642.00$41,590$6,006
20163695652.33$56,028$8,000
20153991632.44$57,780$9,056
20141534662.20$19,860$2,658
20131528691.98$14,285$2,280

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: 2 services

Original Medicare services billed in 2023
Long return visit (40+ min)31$7,630$109
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or12$1,127$27

2022: 3 services

Original Medicare services billed in 2022
Long return visit (40+ min)32$7,999$110
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or17$1,474$27
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,390$63

2021: 1 service

Original Medicare services billed in 2021
Long return visit (40+ min)29$9,002$113

2020: 1 service

Original Medicare services billed in 2020
Long return visit (40+ min)22$3,963$92

2019: 1 service

Original Medicare services billed in 2019
Long return visit (40+ min)24$4,576$88

2018: 1 service

Original Medicare services billed in 2018
Long return visit (40+ min)26$4,478$90

2017: 1 service

Original Medicare services billed in 2017
Long return visit (40+ min)16$1,988$76

2016: 1 service

Original Medicare services billed in 2016
Long return visit (40+ min)22$3,889$97

2015: 2 services

Original Medicare services billed in 2015
Long return visit (40+ min)13$2,500$93
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,362$182

Medicaid work

$1,869 in 2024

Medicaid paid $1,869 for 13 billed services this clinician did in 2024, up to 12 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
Long return visit (40+ min)13$1,869
Medicaid work by year
202413112$1,869

Drugs they prescribed that Part D paid

$623,341

Pharmacies billed $623,341 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 332) in 2024. At or below the middle of the specialty; the typical rheumatology clinician is at 3%.

223 generic and 109 brand-name prescriptions · $623,341 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Enbrel Sureclick25$177,354$7,094
Humira(Cf)16$107,117$6,695
Enbrel13$87,017$6,694
Xeljanz13$72,731$5,595
Methotrexate85$1,789$21
See all 8 drugs
Every Part D drug this clinician prescribed
Enbrel Sureclick25$177,354$7,094
Humira(Cf)16$107,117$6,695
Enbrel13$87,017$6,694
Xeljanz13$72,731$5,595
Methotrexate85$1,789$21
Hydroxychloroquine Sulfate24$1,723$72
Prednisone52$391$8
Diclofenac12$153$13

Year by year

Part D prescribing by year
2024332380% (0)33%$623,341
2023349320% (0)None$841,601
2022340300% (0)40%$700,409
2021257280% (0)None$537,156
2020181230% (0)None$170,768
2019235200% (0)28%$229,236
2018237200% (0)32%$216,483
2017196160% (0)20%$71,388
2016155170% (0)20%$53,309
2015119None0% (0)9%$9,290
201494110% (0)None$3,574
201332110% (0)None$1,804

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Enbrel Sureclick25$201,554$8,062
Humira(Cf)25$186,917$7,477
Enbrel13$98,976$7,614
Humira(Cf)13$84,530$6,502
Xeljanz13$69,550$5,350
Myfortic11$19,183$1,744
Methotrexate73$2,577$35
Hydroxychloroquine Sulfate27$2,086$77
Prednisone62$715$12
Omeprazole12$366$30

2022: 11 drugs

Part D drugs prescribed in 2022
Enbrel Sureclick25$190,646$7,626
Humira(Cf)23$158,755$6,902
Enbrel12$83,597$6,966
Rinvoq11$68,453$6,223
Xeljanz12$60,679$5,057
Myfortic13$16,746$1,288
Hydroxychloroquine Sulfate29$3,107$107
Methotrexate73$2,720$37
Minocycline12$713$59
Prednisone57$619$11
Sulfasalazine14$554$40

2021: 5 drugs

Part D drugs prescribed in 2021
Humira(Cf)17$107,151$6,303
Enbrel Mini14$87,807$6,272
Methotrexate56$3,003$54
Hydroxychloroquine Sulfate23$2,558$111
Prednisone41$591$14

2020: 4 drugs

Part D drugs prescribed in 2020
Hydroxychloroquine Sulfate24$3,509$146
Methotrexate33$2,006$61
Prednisone44$439$10
Alendronate11$92$8

2019: 7 drugs

Part D drugs prescribed in 2019
Enbrel Sureclick14$71,078$5,077
Hydroxychloroquine Sulfate30$4,070$136
Methotrexate51$2,351$46
Sulfasalazine Dr11$594$54
Prednisone41$357$9
Alendronate12$144$12
Omeprazole12$103$9

2018: 6 drugs

Part D drugs prescribed in 2018
Enbrel Sureclick20$98,756$4,938
Humira13$62,996$4,846
Actonel13$4,277$329
Methotrexate62$2,623$42
Hydroxychloroquine Sulfate18$2,276$126
Prednisone48$441$9

2017: 7 drugs

Part D drugs prescribed in 2017
Enbrel Sureclick13$58,487$4,499
Actonel13$3,938$303
Hydroxychloroquine Sulfate15$2,628$175
Methotrexate48$2,124$44
Prednisone46$467$10
Omeprazole14$74$5
Alendronate13$45$3

2016: 5 drugs

Part D drugs prescribed in 2016
Enbrel11$43,672$3,970
Methotrexate39$2,084$53
Prednisone39$372$10
Omeprazole19$135$7
Alendronate11$35$3

2015: 3 drugs

Part D drugs prescribed in 2015
Methotrexate23$1,657$72
Prednisone30$356$12
Omeprazole33$240$7

2014: 3 drugs

Part D drugs prescribed in 2014
Methotrexate26$1,792$69
Prednisone12$136$11
Omeprazole19$119$6

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
74.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1841507506
Licence
CA A109504California A109504: Current · expires 2026-10-31
Trained
University of California, San Francisco School of Medicine, 2008 · 18 years ago
Group
University of California San Francisco · Regents of the University of California
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RR0500X (207RR0500X); Internal medicine (207R00000X)
Mailing address
513 Parnassus Ave, Box 0795, San Francisco, CA, 94143
NPI first listed
2010-09-01
NPI last updated
2014-02-25

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