NPIMap

Individual provider Active NPI

Raj Gupta, M.D

  • Neurology Physician
  • San Jose, CA
National Provider Identifier
1831126689
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A93854 Issued in CA
Practice address
200 Jose Figueres Ave
Ste 200
San Jose, CA 95116-1586
Phone
(408) 347-1600
Fax
(408) 347-0600
NPI assigned
Jun 27, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A93854 CA Primary
Neurology Physician 2084N0400X L776265 MI

Addresses

Primary practice location

200 Jose Figueres Ave
Ste 200
San Jose, CA 95116-1586

Mailing address

200 Jose Figueres Ave
Ste 200
San Jose, CA 95116-1586
Phone (408) 347-1600

Other names 1

  • Dr. Raj Kumar Professional name

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
I20070206000738 CA Practitioner - NeurologyPractitioner - Other (Physician)Practitioner - Sleep Medicine 5991707838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Jose Pacific Neurology CNTR Prof CorGroup PAC ID 3173525011, 3 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 200
San Jose, CA 95116-1586
Phone (408) 347-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
86.34
Promoting interoperability
100
Improvement activities
40
Cost
89.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93854CAMDNeurology Physician
L776265MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBCAA/Endpoint/CCBCAA
  • Direct secure messaging: rgupta125702@santaclaravalley.direct-ci.net
  • Direct secure messaging: rkumar18956@icare.elcaminohospital.org

Organizations & group practices 7

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 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1831126689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161586",
            "telephone_number": "408-347-1600",
            "fax_number": "408-347-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161586",
            "telephone_number": "408-347-1600",
            "fax_number": "408-347-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A93854",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "L776265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJ",
            "last_name": "KUMAR",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.