Michael C Kushlan, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G29074 Issued in CA

Practice address

2505 Samaritan Drive
Suite # 502
San Jose, CA 95124-4014

Phone

(408) 356-0468

Fax

(408) 356-4821

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Samaritan Endoscopy Center, Inc.

  • Endoscopy Clinic/Center
  • Los Gatos, CA
  • NPI 1447352737
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1538273073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DRIVE",
            "address_2": "SUITE # 502",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244014",
            "telephone_number": "408-356-0468",
            "fax_number": "408-356-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DRIVE",
            "address_2": "SUITE # 502",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244014",
            "telephone_number": "408-356-0468",
            "fax_number": "408-356-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHLAN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G29074",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G29074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kure Liu
• Jane Wamarwa Kuria
• Caitlyn Pearl Kurinsky, DO
• Yuka Kuroda Tay
• James Heinrich Kurtz, LCSW
• Kushneeta LLC
• Ann Chalotte Kushner, DC
• James Kusters, LVN
• Kusum Punjabi Licensed Marriage and Family Therapist PC (Dba Soul Space Psychotherapy)
• Charles J. Kutner, MD

• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.