Active NPI
Sylvia Zaira Cardounell, MD
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1366902207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PTL4322
- Practice address
- 751 S Bascom Ave
San Jose, CA 95128-2699 - Phone
- (917) 548-3758
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PTL4322 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave
San Jose, CA 95128-2699
Mailing address
1800 Stokes St Apt 64
San Jose, CA 95126-4723
Phone (917) 548-3758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094
Hospital & facility affiliations
- Zion'S Way Home Health
- Tuba City Regional Health Care Corporation
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.59 of 100
- Quality
- 47.51
- Promoting interoperability
- 69
- Improvement activities
- 40
- Cost
- 86.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL4322 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Family Medicine, TX
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1780867556
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- St George, UT
- NPI 1588930705
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1366902207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 STOKES ST APT 64",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951264723",
"telephone_number": "917-548-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282699",
"telephone_number": "917-548-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDOUNELL",
"first_name": "SYLVIA",
"middle_name": "ZAIRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2021-11-26",
"certification_date": "2021-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "PTL4322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.