Jennifer Acostamadiedo, MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

A170693 Issued in CA

Practice address

1665 Dominican Way Ste 222
Santa Cruz, CA 95065-1515

Phone

(844) 387-5337

Fax

(866) 264-3890

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal MedicineAlso: Sleep Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sirish Nakka MD IncGroup PAC ID 6608224423, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.51 of 100Reported as group

Quality

79.37

Promoting interoperability

100

Improvement activities

40

Cost

73.65

Merit-based Incentive Payment System (MIPS)

Final score

77.91 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

58.63

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jennifer.acostamadiedo.1@3342.direct.athenahealth.com
• Direct secure messaging: jacostamadiedo790830@direct.uclahealth.org
• Direct secure messaging: jennifer.acostamadiedo.1@2256.direct.athenahealth.com

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.

• Sirish Nakka MD Inc

  • Sleep Specialist (PhD)
  • Santa Cruz, CA
  • NPI 1609579069
  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• The Regents of the University of California

  dba UCLA Dept of Medicine

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• The Regents of the University of California

  dba UCLA Dept of Medicine

  • Ambulatory Surgical Clinic/Center
  • Valencia, CA
  • NPI 1689200305
  NPD
• Aaron B Morse MD Inc

  dba Sleep Health MD

  • Sleep Specialist (PhD)
  • Santa Cruz, CA
  • NPI 1053585794
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1417479288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY STE 222",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651515",
            "telephone_number": "844-387-5337",
            "fax_number": "866-264-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY STE 222",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651515",
            "telephone_number": "844-387-5337",
            "fax_number": "866-264-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTAMADIEDO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A170693",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125071547",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A170693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Acevedo, MFTI
• Hector Aceves, LVN
• Acmn Inc (Accessible Healthcare of the Central Coast)
• Acmn Inc. (Accessible Home Health Care of the Central Coast)
• Inez Acosta
• Marian Elliot Acquistapace, CNM/FNP
• Active Home Health Care, Inc.
• Acupuncture Wellness Center, Inc.
• Natalia Adam
• Amelia Adams

• Sleep Medicine (Internal Medicine) Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Sleep Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.