NPIMap

Individual provider Active NPI

Swaroopa R. Bussa, MD

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1003994856
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81910 Issued in CA
Practice address
4781 Whitetail LN
San Jose, CA 95138-2472
Phone
(408) 836-5955
NPI assigned
Nov 1, 2006
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81910 CA Primary

Addresses

Primary practice location

4781 Whitetail LN
San Jose, CA 95138-2472

Mailing address

4781 Whitetail LN
San Jose, CA 95138-2472
Phone (408) 836-5955

Other identifiers 1

IdentifierTypeStateIssuer
00A819100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000744 CA Practitioner - Internal MedicinePractitioner - Hospitalist 3173579315 Reassigns benefits to 2 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 390-2040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81910CAMDMarriage & Family Therapist
A81910CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jan 20, 2015 Accepting new patients
County of San Mateo CurrentSince Jan 20, 2015 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Health Care Internal Medicine Past Accepting new patients
Center for Cardiovascular Care a Medical Corporation PastSince Mar 1, 2011 Accepting new patients
John Muir Physician Network Past Accepting new patients

Locations

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 358-5633

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1003994856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 WHITETAIL LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382472",
            "telephone_number": "408-836-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 WHITETAIL LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382472",
            "telephone_number": "408-836-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSA",
        "first_name": "SWAROOPA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A819100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.