Individual provider Active NPI

Anjali Gulati, MD

  • Cardiovascular Disease Physician
  • San Jose, CA
National Provider Identifier
1124190954
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A62620 Issued in CA
Practice address
2516 Samaritan Dr
Suite H
San Jose, CA 95124-4108
Phone
(408) 358-4000
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A62620 CA Primary

Addresses

Primary practice location

2516 Samaritan Dr
Suite H
San Jose, CA 95124-4108

Mailing address

2516 Samaritan Dr
Suite H
San Jose, CA 95124-4012
Phone (408) 358-4000

Other names 1

  • Anjali Pathak Former name

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
I20080411000341 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880771021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2516 Samaritan Dr
Suite H
San Jose, CA 95124-4108
Phone (408) 358-4000

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

Merit-based Incentive Payment System (MIPS)

Final score
22.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62620CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anjali Gulati, M.D., Inc. Cardiovascular Disease CurrentSince Nov 5, 2007 Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

2516 Samaritan Dr
Ste H
San Jose, CA 95124
Phone (408) 356-7161

2505 Samaritan Dr
Ste 404
San Jose, CA 95124
Phone (405) 358-4000

2030 Forest Ave
Ste 110
San Jose, CA 95128
Phone (408) 292-7777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1124190954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR",
            "address_2": "SUITE H",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244012",
            "telephone_number": "408-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR",
            "address_2": "SUITE H",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "ANJALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A62620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJALI",
            "last_name": "PATHAK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.