Individual provider Active NPI

James Petros, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
National Provider Identifier
1194994996
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A90732 Issued in CA
Practice address
2724 Aborn Rd
San Jose, CA 95121-1204
Phone
(408) 528-8833
Fax
(408) 528-8557
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A90732 CA Primary
Internal Medicine Physician 207R00000X A90732 CA

Addresses

Primary practice location

2724 Aborn Rd
San Jose, CA 95121-1204

Mailing address

2724 Aborn Rd
San Jose, CA 95121-1204
Phone (408) 528-8833

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
I20091229000073 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Pain Management 1951441856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine, Pain Management
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

Practice addresses (Care Compare)

14777 Los Gatos Blvd
Suite 202
Los Gatos, CA 95032-2059
Phone (408) 528-8833

Merit-based Incentive Payment System (MIPS)

Final score
49.02 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
58.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90732CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation CurrentSince Aug 1, 2011 Accepting new patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation CurrentSince Aug 1, 2011 Accepting new patients
El Camino Hospital Past Accepting new patients
Cupertino Medical Group PC Past Accepting new patients
Trinity Surgery Center, LLC PastSince Nov 29, 2023 Accepting new patients
El Camino Hospital Past Accepting new patients
Advanced Pain and Rehabilitation Past Accepting new patients
South Bay Orthopedic and Sports Medicine Clinic, Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 202
Los Gatos, CA 95032
Phone (408) 528-8833

16275 Monterey St
Ste H
Morgan Hill, CA 95037
Phone (408) 528-8333

100 W El Camino Real
Ste 79
Mountain View, CA 94040
Phone (408) 528-8833

2724 Aborn Rd
San Jose, CA 95121
Phone (408) 528-7070

1604 Blossom Hill Rd
Ste 10
San Jose, CA 95124
Phone (408) 528-8833

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1194994996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-528-8833",
            "fax_number": "408-528-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-528-8833",
            "fax_number": "408-528-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A90732",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.