NPIMap

Individual provider Active NPI

Mahesh Jaya Shetty, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Sunnyvale, CA
National Provider Identifier
1295954121
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
129323 Issued in CA
Practice address
1208 E Arques Ave Ste 113
Sunnyvale, CA 94085-5419
Phone
(408) 730-8082
Fax
(408) 730-0548
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 129323 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 270208 NY
Pulmonary Disease Physician 207RP1001X 129323 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 129323 CA Primary

Addresses

Primary practice location

1208 E Arques Ave Ste 113
Sunnyvale, CA 94085-5419

Mailing address

1208 E Arques Ave Ste 113
Sunnyvale, CA 94085-5419
Phone (408) 730-8082

Other identifiers 1

IdentifierTypeStateIssuer
A129323OtherCAMEDICAL LICENSE

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
I20140829002122 CA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729103015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Critical Care (Intensivists), Internal Medicine, Pulmonary Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Services at El Camino HospitalGroup PAC ID 5698825016, 10 clinicians

Practice addresses (Care Compare)

1208 E Arques Ave
Suite 113
Sunnyvale, CA 94085-5419
Phone (917) 562-5960

2500 Grant Rd
Mountain View, CA 94040-4302

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC CurrentSince Aug 1, 2019 Accepting new patients
Bass Medical Group Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Locations

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mshetty7760@icare.elcaminohospital.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1295954121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E ARQUES AVE STE 113",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855419",
            "telephone_number": "408-730-8082",
            "fax_number": "408-730-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E ARQUES AVE STE 113",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855419",
            "telephone_number": "408-730-8082",
            "fax_number": "408-730-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "MAHESH",
        "middle_name": "JAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "129323",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "270208",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "129323",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "129323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A129323",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.