NPIMap

Individual provider Active NPI

Ioana Andreia Gheorghiu, M.D.

  • Internal Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1598967317
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116582 Issued in CA
Practice address
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone
(408) 871-3289
NPI assigned
Jun 4, 2007
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 4301089704 MI
Internal Medicine Physician 207R00000X A116582 CA Primary

Addresses

Primary practice location

815 Pollard Rd
Los Gatos, CA 95032-1438

Mailing address

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 871-3289

Other identifiers 2

IdentifierTypeStateIssuer
1101111322OtherMIBLUE CROSS PIN
5200846MedicaidMI

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
I20130813000494 CA Practitioner - Internal Medicine 6103919204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince May 4, 2019 Accepting new patients
County of Santa Clara Internal Medicine CurrentSince May 4, 2019 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Jun 11, 2020 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

2585 Samaritan Dr
San Jose, CA 95124
Phone (408) 278-3003

Interoperability endpoints

  • Direct secure messaging: igheorghiu125687@santaclaravalley.direct-ci.net
  • Direct secure messaging: igheorghiu50782@icare.elcaminohospital.org

Organizations & group practices 6

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 3

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1598967317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-871-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-871-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEORGHIU",
        "first_name": "IOANA",
        "middle_name": "ANDREIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089704",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "1101111322",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.