Leo B Semkiw, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G56561 Issued in CA

Practice address

2430 Samaritan Dr
San Jose, CA 95124-3907

Phone

(408) 371-5300

Fax

(408) 371-6387

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

21.37 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8373/brand/1/csg/1/fhir/r4

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.

• San Jose Sports Medicine & Orthopedics

  • Specialist
  • San Jose, CA
  • NPI 1245247196
  Medicare reassignment NPD Authorized official
• San Jose Orthopedic Associates Medical Corporation

  • Specialist
  • San Jose, CA
  • NPI 1508908518
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1215949110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-371-5300",
            "fax_number": "408-371-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-371-5300",
            "fax_number": "408-371-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMKIW",
        "first_name": "LEO",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G56561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1245247196",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX INDENTIFICATION NUMBER",
            "identifier": "030493774",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Sellers
• Emily Rose Sellers
• Ambica Selvaraj
• Fern Selzer, PH.D.
• Brandon Seminatore, MD
• Mamatha Sen
• Juan Sencion
• Doreen Sendig
• Seneca Family of Agencies
• Seneca Family of Agencies

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.