NPIMap

Individual provider Active NPI

Samir Sharma, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Gatos, CA
National Provider Identifier
1508966508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A27947 Issued in CA
Practice address
14651 S Bascom Ave
Suite 280
Los Gatos, CA 95032-2014
Phone
(408) 356-9422
Fax
(408) 356-9042
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A27947 CA Primary

Addresses

Primary practice location

14651 S Bascom Ave
Suite 280
Los Gatos, CA 95032-2014

Mailing address

2237 Quail Bluff CT
San Jose, CA 95121-3210
Phone (530) 294-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000835 CA Practitioner - Orthopedic Surgery 3476537218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bay Orthopedic and Sports Medicine Clinic, IncGroup PAC ID 6901974351, 3 clinicians

Practice addresses (Care Compare)

333 Oconnor Dr
San Jose, CA 95128-1623
Phone (408) 376-3380

Hospital & facility affiliations

  • Primeliving Home Health, Inc Home health agency, Fremont, CA, CCN 059561
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)28
Upper limb (arm) arthroscopy (minimally invasive joint repair)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A27947CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ganesh MD Inc Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Arthritis and Orthopedic Medical Clinic Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFBCA/Endpoint/IAFBCA

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 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508966508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 QUAIL BLUFF CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951213210",
            "telephone_number": "530-294-1136",
            "fax_number": "530-294-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "SUITE 280",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-356-9422",
            "fax_number": "408-356-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SAMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A27947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.