Active NPI
Paul Hoesly, MD
- Dermatology Physician
- Sunnyvale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A170076
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 90.85
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 71.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of skin lesions | 562 |
| Removal or shaving of skin growth | 15 |
| Skin biopsy | 205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A170076 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Dermatology Clinic LLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | 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
- 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.
-
dba Bend Dermatology Clinic
- Dermatology Physician
- Bend, OR
- NPI 1447764741
-
- Dermatology Physician
- Bend, OR
- NPI 1649244393
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Folsom, CA
- NPI 1154301745
-
- Dermatology Physician
- Roseburg, OR
- NPI 1891467577
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.