NPIMap

Individual provider Active NPI

Kyaw Khine Soe, M.D.

  • Hospitalist Physician
  • San Mateo, CA
National Provider Identifier
1588058788
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A155823 Issued in CA
Practice address
222 W 39TH Ave
San Mateo, CA 94403
Phone
(650) 578-7158
NPI assigned
Mar 25, 2015
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A155823 CA
Hospitalist Physician 208M00000X A155823 CA Primary

Addresses

Primary practice location

222 W 39TH Ave
San Mateo, CA 94403

Mailing address

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 578-7158

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
I20181008002064 CA Practitioner - Internal Medicine 2668724352 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155823CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Feb 11, 2019 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Apr 1, 2021 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp CurrentSince Apr 1, 2021 Accepting new patients
County of San Mateo CurrentSince Aug 1, 2018 Accepting new patients
County of San Mateo CurrentSince Aug 1, 2018 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
County of San Mateo CurrentSince Aug 1, 2018 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 18, 2024 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

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

33 Mateo Ave
Millbrae, CA 94030
Phone (650) 583-8937

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

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

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: ksoe19423@smch.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1588058788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-578-7158",
            "fax_number": "650-212-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94403",
            "telephone_number": "650-578-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOE",
        "first_name": "KYAW KHINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A155823",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A155823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.