Individual provider Active NPI

Omid Hajiseyedjavadi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chandler, AZ
National Provider Identifier
1720032808
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35210 Issued in AZ
Practice address
485 S Dobson Rd Ste 203
Chandler, AZ 85224-5604
Phone
(480) 728-2690
Fax
(480) 728-2689
NPI assigned
May 21, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 24220 NV
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 04-51786 KS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME180845 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C55150 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 44129 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01099305A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 101490 WI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036.130433 IL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 165090 MT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35210 AZ Primary
Hospitalist Physician 208M00000X ME180845 FL

Addresses

Primary practice location

485 S Dobson Rd Ste 203
Chandler, AZ 85224-5604

Mailing address

16696 Cypress Way
Los Gatos, CA 95030-7531
Phone (408) 896-9450

Other practice location 1

105 N Bascom Ave Ste 202
San Jose, CA 95128-1811
Phone (408) 356-7205

Other practice location 2

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Other names 1

  • Omid Javadi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND, MO, WI, OR, KS, CO, MT, IN, FL10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20150205000015 CA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 6507878378 Reassigns benefits to 4 organizations
I20230606000979 ND Practitioner - Thoracic Surgery 6507878378 Reassigns benefits to 2 organizations
I20240212001825 MO Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6507878378 Reassigns benefits to 1 organization
I20240318003190 WI Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6507878378 Reassigns benefits to 11 organizations
I20240422003097 OR Practitioner - Thoracic Surgery 6507878378 Reassigns benefits to 1 organization
I20250930002454 KS Practitioner - Thoracic SurgeryPractitioner - General Surgery 6507878378 Reassigns benefits to 2 organizations
I20251122001292 CO Practitioner - Thoracic Surgery 6507878378 Reassigns benefits to 1 organization
I20251218001972 MT Practitioner - Thoracic Surgery 6507878378 Reassigns benefits to 1 organization
I20260429000702 IN Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6507878378 Reassigns benefits to 1 organization
I20260501002003 FL Practitioner - Thoracic SurgeryPractitioner - Hospitalist 6507878378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, shared by 17 NPIs, 110 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

105 N Bascom Ave
Suite 202
San Jose, CA 95128-1811
Phone (408) 356-7205

1300 28TH St S
Suite 4
Great Falls, MT 59405-5296
Phone (406) 455-5000

1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (602) 728-3000

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Phone (970) 221-1000

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

840 S Akers St
Visalia, CA 93277-8309
Phone (559) 624-3741

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6341

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)29
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55150CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME180845FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036.130433ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
04-51786KSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
44129KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
165090MTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles (60 of 70)

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Aug 16, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 20, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Mar 18, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jul 11, 2025 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jan 15, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Mar 18, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Salem Health Current Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Feb 28, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 20, 2024 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Memorial Hospital Inc CurrentSince Feb 20, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 1, 2025 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Aug 16, 2024 Accepting new patients
Omid H. Javadi PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2015 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jul 11, 2025 Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 20, 2024 Accepting new patients
Salem Health CurrentSince Apr 8, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Feb 28, 2025 Accepting new patients
Saint Marys Medical Group Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Sep 12, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 20, 2024 Accepting new patients
Salem Health CurrentSince Apr 8, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 20, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 20, 2024 Accepting new patients
Sanford Bismarck CurrentSince May 1, 2023 Accepting new patients
Rideout Memorial Hospital CurrentSince Jul 3, 2023 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 19, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince Dec 3, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jul 11, 2025 Accepting new patients
Sanford Bismarck CurrentSince May 1, 2023 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 19, 2025 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Sep 12, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 20, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 20, 2024 Accepting new patients
County of Santa Clara Past Accepting new patients
New Day Nutrition, LLC PastSince Dec 12, 2021 Accepting new patients
MCHS Hospitals, Inc. Past Accepting new patients
El Camino Hospital Past Accepting new patients
Ascension NE Wisconsin, Inc Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Banner Baywood Medical Center Past Accepting new patients
Banner Heart Hospital Past Accepting new patients
Sun Health Corporation Past Accepting new patients
Columbia St Mary's Hospital Ozaukee, Inc. Past Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Honorhealth Past Accepting new patients
Dignity Health Past Accepting new patients
Southwest Heart & Lung, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Sanford Bismarck Past Accepting new patients
Waukegan Illinois Hospital Company LLC Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients

Locations (25 of 43)

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

6851 Canby Ave
Ste 101
Reseda, CA 91335

105 N Bascom Ave
Ste 202
San Jose, CA 95128
Phone (408) 356-7205

2505 Samaritan Dr
Ste 503
San Jose, CA 95124
Phone (408) 358-2308

393 Blossom Hill Rd
Ste 210B
San Jose, CA 95123
Phone (408) 356-7205

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

2500 Rocky Mountain Ave
Ste 360
Loveland, CO 80538
Phone (970) 221-5878

1100 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 268-5266

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 310
Joplin, MO 64804

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

1300 28th St S
Ste 4
Great Falls, MT 59405
Phone (406) 455-4300

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

645 N Arlington Ave
Ste 555
Reno, NV 89503
Phone (775) 770-7348

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ohajiseyedjavadi125705@santaclaravalley.direct-ci.net
  • Direct secure messaging: ohajiseyedjavadi30556@icare.elcaminohospital.org

Organizations & group practices 75

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 75

Hospital & facility affiliations 9

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": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1720032808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16696 CYPRESS WAY",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307531",
            "telephone_number": "408-896-9450",
            "fax_number": "408-213-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD STE 203",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245604",
            "telephone_number": "480-728-2690",
            "fax_number": "480-728-2689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Bascom Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281811",
            "country_code": "US",
            "telephone_number": "408-356-7205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "785-625-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJISEYEDJAVADI",
        "first_name": "OMID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "24220",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KS",
            "license": "04-51786",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME180845",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C55150",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "44129",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01099305A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "101490",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036.130433",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MT",
            "license": "165090",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "35210",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME180845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMID",
            "last_name": "JAVADI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.