Individual provider Active NPI

Alexis Mae Bayudan

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1467972158
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2017019563 Issued in MO
Practice address
513 Parnassus Ave RM S-357
San Francisco, CA 94143-2205
Phone
(415) 347-6314
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017019563 MO Primary

Addresses

Primary practice location

513 Parnassus Ave RM S-357
San Francisco, CA 94143-2205

Mailing address

660 South Euclid Avenue
Department of Medicine, Box 8121
Saint Louis, MO 63110
Phone (314) 362-5000

Other identifiers 1

IdentifierTypeStateIssuer
2017019563OtherMOMISSOURI BOARD OF REGISTRATION FOR THE HEALING ARTS

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
I20240812003890 CA Practitioner - Gastroenterology 1850662735 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Jose Gastroenterology, Inc.Group PAC ID 5597745851, 11 clinicians

Practice addresses (Care Compare)

2331 Montpelier Dr
Suite B
San Jose, CA 95116-1673
Phone (408) 347-9001

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy198
Upper gastrointestinal (GI) endoscopy for acid reflux155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Gastroenterology, Inc. CurrentSince Sep 1, 2024 Accepting new patients
County of Santa Clara CurrentSince Sep 9, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 9, 2024 Accepting new patients
County of Santa Clara Internal Medicine Current Accepting new patients
County of Santa Clara CurrentSince Sep 9, 2024 Accepting new patients
County of Santa Clara CurrentSince Sep 9, 2024 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

231 Oconnor Dr
San Jose, CA 95128
Phone (408) 213-3937

2331 Montpelier Dr
Ste B
San Jose, CA 95116
Phone (408) 347-9001

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abayudan209395@santaclaravalley.direct-ci.net

Organizations & group practices 7

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 5

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1467972158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SOUTH EUCLID AVENUE",
            "address_2": "DEPARTMENT OF MEDICINE, BOX 8121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-362-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE RM S-357",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432205",
            "telephone_number": "415-347-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYUDAN",
        "first_name": "ALEXIS",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017019563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF REGISTRATION FOR THE HEALING ARTS",
            "identifier": "2017019563",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.