Individual provider Active NPI

Hardeep Kour, MD

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1477059491
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174408 Issued in CA
Practice address
4923 Esguerra Ter
Fremont, CA 94555-2677
Phone
(408) 507-2367
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 174408 CA Primary

Addresses

Primary practice location

4923 Esguerra Ter
Fremont, CA 94555-2677

Mailing address

4923 Esguerra Ter
Fremont, CA 94555-2677
Phone (408) 507-2367

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
I20220408001235 CA Practitioner - Internal Medicine 1052661808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Bay Area Hospitalist Medical Group IncGroup PAC ID 0648573378, 60 clinicians

Practice addresses (Care Compare)

225 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 259-5000

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174408CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group a Professional Corp Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Single Specialty Current Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Single Specialty CurrentSince May 1, 2022 Accepting new patients

Locations

14966 Terreno de Flores Ln
Los Gatos, CA 95032
Phone (408) 356-8136

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

Organizations & group practices 4

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 2

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1477059491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 ESGUERRA TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552677",
            "telephone_number": "408-507-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 ESGUERRA TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552677",
            "telephone_number": "408-507-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUR",
        "first_name": "HARDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "174408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.