NPIMap

Individual provider Active NPI

Lewis L Haut, MD

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1760490510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G362310 Issued in CA
Practice address
2039 Forest Ave
Ste 301
San Jose, CA 95128
Phone
(408) 998-8800
Fax
(408) 998-2926
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G362310 CA Primary

Addresses

Primary practice location

2039 Forest Ave
Ste 301
San Jose, CA 95128

Mailing address

2039 Forest Ave
Ste 301
San Jose, CA 95128
Phone (408) 998-8800

Other identifiers 1

IdentifierTypeStateIssuer
00G362310MedicaidCA

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
I20121219000103 CA Practitioner - Internal MedicinePractitioner - Nephrology 8325290406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Harvard Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2039 Forest Ave
Suite 301
San Jose, CA 95128-4830
Phone (408) 998-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.33 of 100Reported as individual
Quality
48.43
Improvement activities
40
Cost
46.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G362310CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis L Haut MD Inc Nephrology CurrentSince Apr 1, 1978 Accepting new patients
El Camino Health Medical Network, LLC PastSince Nov 6, 2017 Accepting new patients

Locations

2039 Forest Ave
Ste 301
San Jose, CA 95128
Phone (408) 998-2100

Interoperability endpoints

  • Direct secure messaging: lhaut125710@santaclaravalley.direct-ci.net
  • Direct secure messaging: lewis.haut@10947828514820.direct.elationemr.com

Organizations & group practices 2

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760490510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "STE 301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-998-8800",
            "fax_number": "408-998-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "STE 301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-998-8800",
            "fax_number": "408-998-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUT",
        "first_name": "LEWIS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G362310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G362310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.