NPIMap

Individual provider Active NPI

John Hausdorff, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Monterey, CA
National Provider Identifier
1972540516
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
G72868 Issued in CA
Practice address
5 Harris CT
BLDG T, 2ND FLR Suite 201
Monterey, CA 93940
Phone
(831) 375-4105
Fax
(831) 372-5722
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 113577 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X G72868 CA Primary

Addresses

Primary practice location

5 Harris CT
BLDG T, 2ND FLR Suite 201
Monterey, CA 93940

Mailing address

5 Harris CT # 201
BLDG T, 2ND FLR
Monterey, CA 93940-5750
Phone (831) 375-4105

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ13460ZOtherMEDICARE GROUP #
GR0080140OtherMEDICAID GROUP #
00G728680OtherBCBS
00G728680MedicaidCA

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
I20080611000818 CA Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Medical Oncology 7214008796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine, Medical Oncology
Education
State University of Ny Upstate Medical University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians
Monterey Bay Oncology a Medical CorporationGroup PAC ID 6507826856, 14 clinicians

Practice addresses (Care Compare)

23845 Holman Hwy
Suite 210
Monterey, CA 93940-5907
Phone (831) 620-0700

5 Harris CT
Suite 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.61
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72868CAMDHospice and Palliative Medicine (Internal Medicine) Physician
113577CAMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2007 Accepting new patients
Montage Medical Group CurrentSince Jul 1, 2016 Accepting new patients
Monterey Bay Oncology a Medical Corporation CurrentSince Jun 14, 1996 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Monterey Bay Oncology a Medical Corporation PastSince Jun 14, 1996 Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

15400 National Ave
Ste 201
Los Gatos, CA 95032
Phone (408) 358-8444

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

5 Harris Ct
Bldg T2
Monterey, CA 93940
Phone (831) 375-4105

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

5 Harris Ct
Ste 201
Monterey, CA 93940
Phone (831) 375-4105

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1972540516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT # 201",
            "address_2": "BLDG T, 2ND FLR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "BLDG T, 2ND FLR SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSDORFF",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "113577",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G72868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "ZZZ13460Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "GR0080140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G728680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G728680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.