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SPHOORTI D. UMARJEE MD
NPI 1033537006
Pediatrics in San Jose, CA

Active since April 06, 2014PECOS Enrolled
276 INTERNATIONAL CIR FL 1, SAN JOSE, CA 95119(408) 972-6113 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Dec 12, 2017, Nov 2, 2016 (3 updates tracked since 2016).

About Sphoorti D. Umarjee Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPHOORTI D. UMARJEE MD (NPI 1033537006) is an individual pediatrics provider in San Jose, California, licensed in California (A149864) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033537006
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSPHOORTI D. UMARJEECredential: MD
Location Address276 INTERNATIONAL CIR FL 1San Jose, CA 95119-1130
Mailing Address276 International Cir, 1st Floor, Unit BSan Jose, CA 95119-1130 · (408) 972-6113
Phone(408) 972-6113
Sole ProprietorNo
Enumeration DateApril 6, 2014
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
✔ NPI 1033537006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A149864
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
276 INTERNATIONAL CIR FL 1, San Jose, CA 95119
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sphoorti D. Umarjee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sphoorti Umarjee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
13 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWIN JANFONG LI M.D.
Pediatrics
276 INTERNATIONAL CIR FL 1
SAN JOSE, CA 95119
Santa Clara County (408) 972-7000
YANG LIU MD
Pediatrics
276 INTERNATIONAL CIR FL 1
SAN JOSE, CA 95119
Santa Clara County (408) 362-4740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sphoorti Umarjee's NPI number?

The NPI number for Sphoorti Umarjee is 1033537006. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Sphoorti Umarjee located?

Sphoorti Umarjee practices at 276 International Cir Fl 1, San Jose, CA 95119. The listed phone number is (408) 972-6113.

What is Sphoorti Umarjee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sphoorti Umarjee enrolled in Medicare?

Yes. Sphoorti Umarjee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sphoorti Umarjee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sphoorti Umarjee reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sphoorti Umarjee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sphoorti Umarjee was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.