Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Niyatee Pradeep Samudra

Individual provider Epilepsy Physician · NPI 1710373360

Niyatee Pradeep Samudra is a Neurology in Stanford, California. Qualified in 2015, 11 years ago. Practices with Stanford Health Care, a 3,085-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A170707 (CA)
Epilepsy Physician Taxonomy 2084E0001X · Licence A170707 (CA)

Record details

NPI number1710373360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stanford