Organization Active NPI

Lewis L Haut MD Inc

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1528302155
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
LEWIS L HAUT MD INC
Practice address
2039 Forest Ave
#301
San Jose, CA 95128-4830
Phone
(408) 998-8800
Fax
(408) 998-2926
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Lewis L Haut, MDNPI 1760490510
Title
MD
Phone
(408) 998-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2039 Forest Ave
#301
San Jose, CA 95128-4830

Mailing address

2039 Forest Ave
#301
San Jose, CA 95128-4830
Phone (408) 998-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000063 CA Part B Supplier - Clinic/Group Practice 3971755042 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2039 Forest Ave
Ste 301
San Jose, CA 95128
Phone (408) 998-2100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1528302155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "#301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284830",
            "telephone_number": "408-998-8800",
            "fax_number": "408-998-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "#301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284830",
            "telephone_number": "408-998-8800",
            "fax_number": "408-998-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS L HAUT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "HAUT",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "408-998-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.