Individual provider Active NPI

Anthony Joseph Badame, M.D.

  • Dermatology Physician
  • San Jose, CA
National Provider Identifier
1285676551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A46257 Issued in CA
Practice address
2025 Forest Ave
Suite 9
San Jose, CA 95128-4806
Phone
(408) 297-4200
Fax
(408) 297-2503
NPI assigned
Jun 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A46257 CA Primary

Addresses

Primary practice location

2025 Forest Ave
Suite 9
San Jose, CA 95128-4806

Mailing address

2025 Forest Ave
Suite 9
San Jose, CA 95128-4806
Phone (408) 297-4200

Other identifiers 1

IdentifierTypeStateIssuer
05D0608454OtherCACLIA

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
I20101201001246 CA Practitioner - Dermatology 0840486858 Reassigns benefits to 4 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2025 Forest Ave
Suite 9
San Jose, CA 95128-4806
Phone (408) 297-4200

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as individual
Quality
86.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of tissue199
Removal of skin lesions1654
Removal of skin cancer182
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46257CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Nov 1, 2019 Accepting new patients
County of Santa Clara Dermatology Current Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2019 Accepting new patients
Anthony J Badame MD a Professional Corporation Dermatology CurrentSince Sep 18, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2019 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2025 Forest Ave
Ste 9
San Jose, CA 95128
Phone (408) 297-4200

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285676551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FOREST AVE",
            "address_2": "SUITE 9",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284806",
            "telephone_number": "408-297-4200",
            "fax_number": "408-297-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FOREST AVE",
            "address_2": "SUITE 9",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284806",
            "telephone_number": "408-297-4200",
            "fax_number": "408-297-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAME",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A46257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0608454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.