NPIMap

Individual provider Active NPI

Hossein Shenasa, MD

  • Interventional Cardiology Physician
  • San Jose, CA
National Provider Identifier
1942368444
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A53756 Issued in CA
Practice address
105 N Bascom Ave
Suite 204
San Jose, CA 95128-1811
Phone
(408) 918-0400
Fax
(408) 286-2922
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A53756 CA Primary

Addresses

Primary practice location

105 N Bascom Ave
Suite 204
San Jose, CA 95128-1811

Mailing address

105 N Bascom Ave
Suite 204
San Jose, CA 95128-1811
Phone (408) 918-0400

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
I20080321000280 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 0244316800 Reassigns benefits to 2 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 N Bascom Ave
Suite 204
San Jose, CA 95128-1811
Phone (408) 918-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.13 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
43.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53756CAMDMarriage & Family Therapist
A53756CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minimally Invasive Surgical Solutions Medical Corporation CurrentSince Jan 2, 2024 Accepting new patients
Heart & Rhythm Clinic, a Professional Medical Corporation CurrentSince Jan 5, 2016 Accepting new patients

Locations

105 N Bascom Ave
Ste 204
San Jose, CA 95128
Phone (408) 294-7725

105 N Bascom Ave
Ste 104
San Jose, CA 95128
Phone (408) 918-0400

2030 Forest Ave
Ste 200
San Jose, CA 95128
Phone (408) 918-0405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBBA/Endpoint/CFFBBA
  • Direct secure messaging: hshenasa126012@santaclaravalley.direct-ci.net

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 12

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1942368444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "SUITE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-918-0400",
            "fax_number": "408-286-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "SUITE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-918-0400",
            "fax_number": "408-286-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENASA",
        "first_name": "HOSSEIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A53756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.