Individual provider Active NPI

Robert S Mastman, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1386683191
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A37122 Issued in CA
Practice address
2577 Samaritan Dr
Suite 740
San Jose, CA 95124-4100
Phone
(408) 358-2029
Fax
(408) 356-5873
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A37122 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr
Suite 740
San Jose, CA 95124-4100

Mailing address

10300 S de Anza Blvd
Cupertino, CA 95014-3030
Phone (408) 253-3083

Other identifiers 1

IdentifierTypeStateIssuer
00A371220MedicaidCA

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
I20080814000602 CA Practitioner - Ophthalmology 8820002777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eye Physicians a Medical Corporation 15 clinicians

Practice addresses (Care Compare)

10300 S de Anza Blvd
Suite a
Cupertino, CA 95014-3030
Phone (408) 253-3083

Merit-based Incentive Payment System (MIPS)

Final score
87.11 of 100Reported as group
Quality
88.99
Improvement activities
40
Cost
71.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A37122CAMDOphthalmology Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Spectrum Eye Physicians, a Medical Corporation Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
Spectrum Eye Physicians, a Medical Corporation Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

10300 S De Anza Blvd
Cupertino, CA 95014
Phone (408) 252-7310

10300 S De Anza Blvd
Ste A
Cupertino, CA 95014
Phone (408) 253-3083

2577 Samaritan Dr
Ste 740
San Jose, CA 95124
Phone (408) 252-7310

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1386683191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 S DE ANZA BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143030",
            "telephone_number": "408-253-3083",
            "fax_number": "408-253-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "address_2": "SUITE 740",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244100",
            "telephone_number": "408-358-2029",
            "fax_number": "408-356-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTMAN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A37122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A371220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.