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Individual provider Active NPI

Bindu Lalitha Bhai Soman Edwin, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1841694189
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017140 Issued in CA
Practice address
2577 Samaritan Dr
San Jose, CA 95124-4100
Phone
(408) 871-3400
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704254186 MI
Primary Care Nurse Practitioner 363LP2300X 95017140 CA
Family Nurse Practitioner 363LF0000X 95017140 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr
San Jose, CA 95124-4100

Mailing address

2084 Calle Mesa Alta
Milpitas, CA 95035-7852
Phone (248) 943-7121

Other names 1

  • Bindu Lalitha Bhai Soman Former 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
I20210721002505 CA Practitioner - Nurse Practitioner 2163727017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2577 Samaritan Dr
Suite 860
San Jose, CA 95124-4110
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704254186MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Apr 18, 2022 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

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

2577 Samaritan Dr
Ste 820
San Jose, CA 95124
Phone (408) 356-8150

2577 Samaritan Dr
Ste 860
San Jose, CA 95124
Phone (408) 358-2627

Interoperability endpoints

  • Direct secure messaging: bedwin118327@icare.elcaminohospital.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1841694189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 CALLE MESA ALTA",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357852",
            "telephone_number": "248-943-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244100",
            "telephone_number": "408-871-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWIN",
        "first_name": "BINDU",
        "middle_name": "LALITHA BHAI SOMAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254186",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95017140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINDU",
            "last_name": "SOMAN",
            "middle_name": "LALITHA BHAI",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.