NPIMap

Individual provider Active NPI

Jaideep Jaiprakash Iyengar, MD

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1245493881
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A103986 Issued in CA
Practice address
2585 Samaritan Dr
San Jose, CA 95124-4107
Phone
(408) 871-3400
Fax
(408) 871-5224
NPI assigned
Jul 3, 2008
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60097526 WA
Orthopaedic Surgery Physician 207X00000X A103986 CA Primary

Addresses

Primary practice location

2585 Samaritan Dr
San Jose, CA 95124-4107

Mailing address

2585 Samaritan Dr
San Jose, CA 95124-4107
Phone (408) 871-3400

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
I20081203000820 CA Practitioner - Orthopedic Surgery 9032270434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103986CAMDOrthopaedic Surgery Physician
MD60097526WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Apr 11, 2019 Accepting new patients
Verity Medical Foundation CurrentSince Nov 30, 2013 Accepting new patients
DCHS Medical Foundation Orthopaedic Surgery CurrentSince Nov 30, 2013 Accepting new patients
County of Santa Clara Past Accepting new patients
Peacehealth Past Accepting new patients
The Sports Clinic Orthopaedic Medical Associates, Inc. Orthopaedic Surgery PastSince Aug 1, 1991 Accepting new patients
El Camino Health Medical Group Past Accepting new patients
County of Santa Clara Past Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

2585 Samaritan Dr
San Jose, CA 95124
Phone (408) 278-3003

400 Race St
San Jose, CA 95126

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

Interoperability endpoints

  • Direct secure messaging: jiyengar125742@santaclaravalley.direct-ci.net
  • Direct secure messaging: jiyengar31260@icare.elcaminohospital.org

Organizations & group practices 10

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1245493881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-871-3400",
            "fax_number": "408-871-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-871-3400",
            "fax_number": "408-871-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "JAIDEEP",
        "middle_name": "JAIPRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60097526",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A103986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.