Individual provider Active NPI

Mustafa Michael Kazemi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • San Ramon, CA
National Provider Identifier
1861479768
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G 61310 Issued in CA
Practice address
5401 Norris Canyon Rd
308
San Ramon, CA 94583
Phone
(925) 866-8822
Fax
(925) 866-8323
NPI assigned
Dec 30, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G 61310 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G 61310 CA Primary
Pulmonary Disease Physician 207RP1001X G 61310 CA

Addresses

Primary practice location

5401 Norris Canyon Rd
308
San Ramon, CA 94583

Mailing address

5401 Norris Canyon Rd
308
San Ramon, CA 94583
Phone (925) 866-8822

Other identifiers 1

IdentifierTypeStateIssuer
00G613101MedicaidCA

Other names 1

  • M Michael Kazemi Professional 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
I20070410000453 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0446211767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
University of California, San Diego School of Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5401 Norris Canyon Rd
Suite 308
San Ramon, CA 94583-5408
Phone (925) 866-8822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G 61310CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tassajara Critical Care Group CurrentSince Aug 24, 2021 Accepting new patients
M Michael Kazemi MD a Medical Corporation Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Tassajara Valley Medical Group PC Internal Medicine Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

5401 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 277-0101

5401 Norris Canyon Rd
Ste 308
San Ramon, CA 94583
Phone (925) 866-8822

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

Interoperability endpoints

  • Direct secure messaging: mkazemi15416@hpmg.direct-ci.net

Organizations & group practices 6

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 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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861479768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMI",
        "first_name": "MUSTAFA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G 61310",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G 61310",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G 61310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G613101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "KAZEMI",
            "middle_name": "MICHAEL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.