NPIMap

Individual provider Active NPI

Mehrdad Rezaee, MD PHD

  • Cardiovascular Disease Physician
  • San Jose, CA
National Provider Identifier
1629056692
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G83930 Issued in CA
Practice address
2030 Forest Ave
Suite 210
San Jose, CA 95128-4833
Phone
(408) 295-2257
Fax
(408) 295-2264
NPI assigned
Jan 9, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G83930 CA Primary

Addresses

Primary practice location

2030 Forest Ave
Suite 210
San Jose, CA 95128-4833

Mailing address

2030 Forest Ave
Suite 210
San Jose, CA 95128-4833
Phone (408) 295-2257

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
I20050113000419 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional CardiologyPractitioner - Peripheral Vascular DiseasePractitioner - Internal Medicine 2365491669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology, Peripheral Vascular Disease
Education
Medical College of Wisconsin, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

2030 Forest Ave
Suite 210
San Jose, CA 95128-4833
Phone (408) 295-2257

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
96.83 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
63.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting52
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jul 27, 2021 Accepting new patients
Cardiac & Vascular Care, Inc Cardiovascular Disease CurrentSince Jul 1, 2003 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 27, 2021 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Pajaro Valley Health Care District Cardiovascular Disease PastSince Dec 18, 2022 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients

Locations

515 South Dr
Ste 12
Mountain View, CA 94040
Phone (650) 559-0011

2030 Forest Ave
Ste 210
San Jose, CA 95128
Phone (408) 295-2257

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mrezaee125967@santaclaravalley.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1629056692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 FOREST AVE",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284833",
            "telephone_number": "408-295-2257",
            "fax_number": "408-295-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 FOREST AVE",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284833",
            "telephone_number": "408-295-2257",
            "fax_number": "408-295-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAEE",
        "first_name": "MEHRDAD",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G83930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.