Individual provider Active NPI

Nayyara Sultana Dawood, MD

  • Pediatrics Physician
  • San Jose, CA
National Provider Identifier
1194744391
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A63743 Issued in CA
Practice address
275 Oconnor Dr Ste C
San Jose, CA 95128-1657
Phone
(408) 279-8786
Fax
(408) 279-3941
NPI assigned
Jul 19, 2006
Last updated
May 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A63743 CA Primary

Addresses

Primary practice location

275 Oconnor Dr Ste C
San Jose, CA 95128-1657

Mailing address

275 Oconnor Dr Ste C
San Jose, CA 95128-1657
Phone (408) 279-8786

Other identifiers 1

IdentifierTypeStateIssuer
00A637430MedicaidCA

Other names 1

  • Miss Nayyara Sultana Usmani 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
I20161003001840 CA Practitioner - Pediatric Medicine 3870880057 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63743CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nayyara Dawood M.D. Pediatrics Corp. CurrentSince Dec 1, 2021 Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

275 Oconnor Dr
Ste C
San Jose, CA 95128
Phone (408) 279-8786

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2423/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nayyara.dawood.1@2423.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1194744391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 OCONNOR DR STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281657",
            "telephone_number": "408-279-8786",
            "fax_number": "408-279-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 OCONNOR DR STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281657",
            "telephone_number": "408-279-8786",
            "fax_number": "408-279-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "NAYYARA",
        "middle_name": "SULTANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A63743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A637430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAYYARA",
            "last_name": "USMANI",
            "middle_name": "SULTANA",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.