NPIMap

Individual provider Active NPI

Khurram Abbass, MD

  • Rheumatology Physician
  • San Jose, CA
National Provider Identifier
1154455178
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A129410 Issued in CA
Practice address
200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595
Phone
(408) 684-4104
Fax
(669) 263-6050
NPI assigned
Mar 14, 2007
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.093406 OH
Internal Medicine Physician 207R00000X 01063328A IN
Rheumatology Physician 207RR0500X A129410 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595

Mailing address

200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595
Phone (408) 684-4104

Other identifiers 1

IdentifierTypeStateIssuer
3118969MedicaidOH

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
I20140708000311 CA Practitioner - RheumatologyPractitioner - Internal Medicine 0648452292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khurram Abbass MD IncGroup PAC ID 4183902463, 5 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 480
San Jose, CA 95116-1595
Phone (408) 684-4104

2512 Samaritan CT
Suite H
San Jose, CA 95124-4002
Phone (408) 684-4104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as individual
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063328AINMDInternal Medicine Physician
35.093406OHMDInternal Medicine Physician
A129410CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khurram Abbass MD Inc Rheumatology CurrentSince Sep 13, 2016 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Marin General Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Mohammed Al-Temimi MD Inc PastSince Apr 20, 2025 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Commonspirit Washington Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

200 Jose Figueres Ave
Ste 480
San Jose, CA 95116
Phone (408) 684-4104

2512 Samaritan Ct
Ste H
San Jose, CA 95124
Phone (408) 684-4104

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14468/brand/1/csg/1/fhir/r4
  • Direct secure messaging: khurram.abbass.1@14468.direct.athenahealth.com

Organizations & group practices 12

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 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1154455178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 480",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161595",
            "telephone_number": "408-684-4104",
            "fax_number": "669-263-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 480",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161595",
            "telephone_number": "408-684-4104",
            "fax_number": "669-263-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASS",
        "first_name": "KHURRAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.093406",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01063328A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A129410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3118969",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.