SAN JOSE SPORTS MEDICINE & ORTHOPEDICS
NPI 1245247196
Specialist in San Jose, CA

Q: What is San Jose Sports Medicine & Orthopedics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 02, 2006

2430 SAMARITAN DR, SAN JOSE, CA 95124(408) 371-5300(408) 371-6387 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About San Jose Sports Medicine & Orthopedics NPPES

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

SAN JOSE SPORTS MEDICINE & ORTHOPEDICS (NPI 1245247196) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since August 2006. The organization lists Leo B Semkiw, President, as its authorized official.

NPPES Registry Identity

NPI1245247196

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSAN JOSE SPORTS MEDICINE & ORTHOPEDICS

Location Address2430 SAMARITAN DRSan Jose, CA 95124-3907

Mailing Address2430 Samaritan DrSan Jose, CA 95124-3907 · (408) 371-5300 · Fax (408) 371-6387

Phone(408) 371-5300

Fax(408) 371-6387

Organization SubpartNo

Authorized OfficialLeo B SemkiwPresident · (408) 371-5300

Enumeration DateAugust 2, 2006

Last NPPES UpdateNovember 14, 2008

✔ NPI 1245247196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G56561

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2430 SAMARITAN DR, San Jose, CA 95124

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Other Identifiers 5

Medicare ID-Type UnspecifiedZZZ25695ZCA

Other00G565611CA · Medicare Provider Number

Other1215949110CA · Leo Semkiw M.d. Individual Npi

Other1881615334CA · Monica Sweet Pa Individual Npi

Medicare UPINE59270

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Jose Sports Medicine & Orthopedics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20060117001209Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Jose Sports Medicine & Orthopedics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leo Semkiw, M.D.

Orthopedic Surgery

NPI 1215949110

2430 SAMARITAN DR
San Jose, CA 95124

(408) 371-5300

✔ PECOSSame address

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

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 San Jose Sports Medicine & Orthopedics's NPI number?

The NPI number for San Jose Sports Medicine & Orthopedics is 1245247196. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is San Jose Sports Medicine & Orthopedics located?

San Jose Sports Medicine & Orthopedics is located at 2430 Samaritan Dr, San Jose, CA 95124. The listed phone number is (408) 371-5300.

What is San Jose Sports Medicine & Orthopedics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is San Jose Sports Medicine & Orthopedics enrolled in Medicare?

Yes. San Jose Sports Medicine & Orthopedics is registered in the Medicare PECOS enrollment system.

When is San Jose Sports Medicine & Orthopedics's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through San Jose Sports Medicine & Orthopedics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to San Jose Sports Medicine & Orthopedics. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Jose Sports Medicine & Orthopedics was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.