Individual provider Active NPI

Maria S Govorkova, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1639511488
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A138095 Issued in CA
Practice address
227 N Jackson Ave
San Jose, CA 95116-1603
Phone
(408) 871-5254
Fax
(408) 871-5221
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A138095 CA Primary

Addresses

Primary practice location

227 N Jackson Ave
San Jose, CA 95116-1603

Mailing address

973 University Ave
Los Gatos, CA 95032-7636

Other names 1

  • Maria S Burtseva Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001277 CA Practitioner - Ophthalmology 4688929565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
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)

227 N Jackson Ave
Suite 100
San Jose, CA 95116-1633
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138095CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC Multi-Specialty CurrentSince Apr 1, 2019 Accepting new patients
Harrup Kaur, MD, Inc. Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
El Camino Health Medical Group Multi-Specialty CurrentSince Sep 8, 2019 Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

7652 Monterey St
#B
Gilroy, CA 95020
Phone (408) 842-2500

973 University Ave
Los Gatos, CA 95032
Phone (408) 278-3003

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

9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003

227 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 866-4000

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

4150 N 1st St
San Jose, CA 95134
Phone (408) 871-5050

Interoperability endpoints

  • Direct secure messaging: mgovorkova51608@icare.elcaminohospital.org

Organizations & group practices 5

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.

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1639511488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 UNIVERSITY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-871-5254",
            "fax_number": "408-871-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVORKOVA",
        "first_name": "MARIA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A138095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BURTSEVA",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.