Active NPI
Shabnam Husain, M.D.
- Internal Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51911
- Practice address
- 2585 Samaritan Dr
San Jose, CA 95124-4107 - Phone
- (408) 871-3400
- Fax
- (408) 871-5219
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51911 | CA | Primary |
Addresses
Primary practice location
2585 Samaritan Dr
San Jose, CA 95124-4107
Mailing address
2585 Samaritan Dr
San Jose, CA 95124-4107
Phone (408) 871-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A519110 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070
Hospital & facility affiliations
- Sequoia Home Health
- El Camino Health
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.25 of 100
- Quality
- 87.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCHS Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Verity Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| El Camino Health Medical Network, LLC | Current | Accepting new patients | |
| County of Santa Clara | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| El Camino Health Medical Group | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Seton Medical Center | Past | Accepting new patients |
Locations
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056
9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003
2585 Samaritan Dr
San Jose, CA 95124
Phone (408) 278-3003
400 Race St
San Jose, CA 95126
625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2577 Samaritan Dr
Ste 820
San Jose, CA 95124
Phone (408) 356-8150
Interoperability endpoints
- shusain18137@icare.elcaminohospital.org
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1326312067
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Internal Medicine Physician
- San Jose, CA
- NPI 1740597368
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Geriatric Medicine (Family Medicine) Physician
- Los Gatos, CA
- NPI 1578831764
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
- Home Health Agency
- Milpitas, CA
- NPI 1679951859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1609987577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244107",
"telephone_number": "408-871-3400",
"fax_number": "408-871-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2585 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244107",
"telephone_number": "408-871-3400",
"fax_number": "408-871-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "SHABNAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A519110",
"state": "CA"
}
],
"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 Nov 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.