Individual provider Active NPI

Paul Hoesly, MD

  • Dermatology Physician
  • Sunnyvale, CA
National Provider Identifier
1376954529
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A170076 Issued in CA
Practice address
603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone
(408) 736-0441
Fax
(408) 736-0722
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 A170076 CA Primary

Addresses

Primary practice location

603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034

Mailing address

3301 C St Ste 1300
Sacramento, CA 95816-3370

Other practice location 1

525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (650) 969-5600

Other practice location 2

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Other practice location 3

3301 C St Ste 1400
Sacramento, CA 95816-3367
Phone (512) 346-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240806004312 OR Practitioner - Dermatology 2668698705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone (503) 245-2415

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions562
Removal or shaving of skin growth15
Skin biopsy205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170076CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Dermatology Clinic LLC Dermatology Current Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology Current Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

2747 NE Conners Ave
Bend, OR 97701
Phone (541) 322-1980

10215 SW Hall Blvd
Tigard, OR 97223
Phone (503) 245-2415

Interoperability endpoints

  • Direct secure messaging: phoesly@csinorthca.emadirect.md

Organizations & group practices 5

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 1

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1376954529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S KNICKERBOCKER DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871034",
            "telephone_number": "408-736-0441",
            "fax_number": "408-736-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 South Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404211",
            "country_code": "US",
            "telephone_number": "650-969-5600",
            "fax_number": "650-969-0360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243907",
            "country_code": "US",
            "telephone_number": "408-369-5600",
            "fax_number": "408-369-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 C St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163367",
            "country_code": "US",
            "telephone_number": "512-346-8888",
            "fax_number": "916-734-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOESLY",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A170076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.