ABID C. MOGANNAM M.D., M.B.A. – NPI #1598056483
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ABID MOGANNAM is a surgeon located in SAN JOSE, CA. NPPES has assigned the NPI number 1598056483 to ABID MOGANNAM on April 26, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 7 years ago on Jan 23, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABID MOGANNAM below.

NPI Profile for
ABID C. MOGANNAM

NPI Number
1598056483
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ABID C. MOGANNAM
Credentials
M.D., M.B.A.
Primary location
2425 SAMARITAN DR
SAN JOSE, CA 95124
Phone: (408) 559-2011 Fax:
1 Other location(s):
2425 Samaritan Dr
San Jose, CA 95124
Phone: (408) 559-2011
Mailing address
1900 CAMDEN AVE
STE 101
SAN JOSE, CA 95124-2944
Phone: (408) 899-8272 Fax: (408) 442-5767
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 CA A123990
208600000X
- Surgery		 CA A123990

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE - Graduated 2011
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ABID MOGANNAM is affiliated with the following medical group(s):
  • HOSPITAL
    • ALAMEDA HOSPITAL
      2070 CLINTON AVENUE
      ALAMEDA, CA 94501
    • ALTA BATES SUMMIT MEDICAL CENTER
      350 HAWTHORNE AVENUE
      OAKLAND, CA 94609
    • EDEN MEDICAL CENTER
      20103 LAKE CHABOT ROAD
      CASTRO VALLEY, CA 94546
    • HIGHLAND HOSPITAL
      1411 EAST 31ST STREET
      OAKLAND, CA 94602
    • ST ROSE HOSPITAL
      27200 CALAROGA AVE
      HAYWARD, CA 94545

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.