NPIMap

Individual provider Active NPI

Carol Ann Somersille, MD

  • Obstetrics & Gynecology Physician
  • San Jose, CA
National Provider Identifier
1508968371
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A50927 Issued in CA
Practice address
455 O'Connor Drive
Suite #270
San Jose, CA 95128
Phone
(408) 278-0200
Fax
(408) 278-0203
NPI assigned
Sep 2, 2006
Sex
Female
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
Obstetrics & Gynecology Physician 207V00000X A50927 CA Primary

Addresses

Primary practice location

455 O'Connor Drive
Suite #270
San Jose, CA 95128

Mailing address

455 O'Connor Drive
Suite #270
San Jose, CA 95128
Phone (408) 278-0200

Other identifiers 1

IdentifierTypeStateIssuer
00A509270MedicaidCA

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
I20050201001033 CA Practitioner - Obstetrics/Gynecology 2668423245 Reassigns benefits to 2 organizations
Practice locations: Mountain View, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Health Medical FoundationGroup PAC ID 9638403819, 40 clinicians

Practice addresses (Care Compare)

1081 Market PL
Suite 500
San Ramon, CA 94583-4750
Phone (925) 452-6644

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
89.11
Promoting interoperability
71
Improvement activities
40
Cost
76.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50927CAMDObstetrics & Gynecology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Jan 1, 2019 Accepting new patients
UCSF Health Medical Foundation CurrentSince Apr 16, 2020 Accepting new patients
OB/GYN Doctors of Silicon Valley Obstetrics & Gynecology Current Accepting new patients
Northern California Trauma Medical Group, Inc. Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

2490 Hospital Dr
Ste 300
Mountain View, CA 94040
Phone (408) 471-2222

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

570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: csomersille126026@santaclaravalley.direct-ci.net
  • Direct secure messaging: csomersille166029@direct-ucsfmedicalcenter.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Camino HealthMountain View, CA, CCN 05S308 Hospital Other Dec 4, 2020
El Camino HealthLos Gatos, CA, CCN 05T308 Hospital Corporate Officer Dec 4, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508968371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 O'CONNOR DRIVE",
            "address_2": "SUITE #270",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-278-0200",
            "fax_number": "408-278-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 O'CONNOR DRIVE",
            "address_2": "SUITE #270",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-278-0200",
            "fax_number": "408-278-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERSILLE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A509270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.