Individual provider Active NPI

M. Bakri Musa, M.D.

  • Surgery Physician
  • Gilroy, CA
National Provider Identifier
1053474361
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G43401 Issued in CA
Practice address
700 W 6TH St
Suite S
Gilroy, CA 95020-6014
Phone
(408) 842-1511
Fax
(408) 842-5366
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G43401 CA Primary

Addresses

Primary practice location

700 W 6TH St
Suite S
Gilroy, CA 95020-6014

Mailing address

700 W 6TH St
Suite S
Gilroy, CA 95020-6014
Phone (408) 842-1511

Other identifiers 2

IdentifierTypeStateIssuer
00G434010MedicaidCA
CALIFORNIA LICENCEOtherCAG43401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101023000161 CA Practitioner - General Surgery 5991998866 Reassigns benefits to 1 organization
Practice locations: Gilroy, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue542
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43401CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Feb 1, 2020 Accepting new patients
County of Santa Clara CurrentSince Feb 1, 2020 Accepting new patients
Polaris Eye & Laser, a Medical Corporation Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: mmusa126193@santaclaravalley.direct-ci.net

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053474361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 6TH ST",
            "address_2": "SUITE S",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206014",
            "telephone_number": "408-842-1511",
            "fax_number": "408-842-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 6TH ST",
            "address_2": "SUITE S",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206014",
            "telephone_number": "408-842-1511",
            "fax_number": "408-842-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSA",
        "first_name": "M.",
        "middle_name": "BAKRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G43401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G434010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G43401",
            "identifier": "CALIFORNIA LICENCE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.