Individual provider Active NPI

Suarna Mehulic, MD

  • Hospitalist Physician
  • San Jose, CA
National Provider Identifier
1023248762
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD453530 Issued in PA
Practice address
20242 Almaden Rd
San Jose, CA 95120-3507
Phone
(408) 904-9097
NPI assigned
Jul 15, 2009
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD453530 PA
Hospitalist Physician 208M00000X MD453530 PA Primary

Addresses

Primary practice location

20242 Almaden Rd
San Jose, CA 95120-3507

Mailing address

20242 Almaden Rd
San Jose, CA 95120-3507
Phone (408) 904-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150504001137 TX Practitioner - Family Practice 6608195219 Reassigns benefits to 2 organizations
I20191202000939 CA Practitioner - Family Practice 6608195219 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Quantum Bay Area Hospitalist Medical Group IncGroup PAC ID 0648573378, 60 clinicians

Practice addresses (Care Compare)

250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Apr 16, 2022 Accepting new patients
Pueblo Pintado Clinic CurrentSince Jan 11, 2016 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Apr 16, 2022 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Sep 18, 2023 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Aug 29, 2016 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Aug 29, 2016 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 18, 2023 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Oct 23, 2019 Accepting new patients
Thoreau Clinic CurrentSince Jan 11, 2016 Accepting new patients
Pinehurst Hospitalist Medical Group, Inc. Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Hospitalist CurrentSince Oct 23, 2019 Accepting new patients
Jicarilla IHS Pharmacy PastSince Mar 5, 2023 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

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

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: smehulic53082@icare.elcaminohospital.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1023248762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20242 ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203507",
            "telephone_number": "408-904-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20242 ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203507",
            "telephone_number": "408-904-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHULIC",
        "first_name": "SUARNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453530",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD453530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.