Natalie Howlett
NPI 1154776094ActiveIndividual· Internal Medicine· Palo Alto, CA
Internal Medicine in Palo Alto, California, trained at State University of New York Downstate Medical Center (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $1,301,542 for 986 claims, against $18,727 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 5 companies reporting payments in 2025, $222.77 in all, mostly food and beverage.
Overview
| NPI | 1154776094 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 28, 2016 |
| Last updated in NPPES | Aug 18, 2025 |
| Certified by provider | Aug 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A155075 | CA |
| Internal Medicine, Rheumatology | 207RR0500X | A155075 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 259 across 12 procedure codes |
| Paid by Medicare | $18,727 |
Part D prescriptions in 2024
| Prescriptions (claims) | 986 · 1,705 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $1,301,542 |
| Generic share | 76% of claims |
Education and affiliations
| Medical school | State University of New York Downstate Medical Center |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Rheumatology |
| Telehealth | Offers telehealth |
Medical group
- Regents Univ of California UCSFSan Francisco, CA · 283 clinicians
Hospital affiliations
- Marinhealth Medical CenterGreenbrae, CA
- Novato Community HospitalNovato, CA
- Sonoma Valley HospitalSonoma, CA
Industry payments (Open Payments)
- 2025$222.77 · 10 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $88.32 | 3 |
| Amgen Inc. | $49.62 | 3 |
| Astrazeneca Pharmaceuticals LP | $48.74 | 2 |
| Glaxosmithkline, LLC. | $21.78 | 1 |
| Abbvie Inc. | $14.31 | 1 |
What the 2025 payments were for
- Food and Beverage$222.77 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 196 internal medicine physicians in Palo Alto · All internal medicine physicians in California