DR. ALFONSO F BANUELOS MD
NPI 1295720613
Internal Medicine in San Jose, CA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
751 S BASCOM AVE, HOSPITAL ADMINISTRATION, SAN JOSE, CA 95128(408) 885-4001 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alfonso F Banuelos Md NPPES

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

DR. ALFONSO F BANUELOS MD (NPI 1295720613) is an individual internal medicine provider in San Jose, California, licensed in California (G45949) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1295720613
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALFONSO F BANUELOSCredential: MD
Location Address751 S BASCOM AVE, HOSPITAL ADMINISTRATIONSan Jose, CA 95128-2604
Mailing Address751 S Bascom Ave, Hospital AdministrationSan Jose, CA 95128-2604 · (408) 885-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 12, 2005
Last NPPES UpdateSeptember 13, 2007
NPI 1295720613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G45949
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License G45949 (CA)
751 S BASCOM AVE, San Jose, CA 95128

Other Identifiers 3

Medicare UPINA50241CA
Medicare PIN00G459490CA
Medicaid00G459490CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Alfonso F Banuelos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022914928
PECOS Enrollment IDI20081223000042
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$76.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$195.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

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 Alfonso Banuelos's NPI number?

The NPI number for Alfonso Banuelos is 1295720613. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Alfonso Banuelos located?

Alfonso Banuelos practices at 751 S Bascom Ave Hospital Administration, San Jose, CA 95128. The listed phone number is (408) 885-4001.

What is Alfonso Banuelos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alfonso Banuelos enrolled in Medicare?

Yes. Alfonso Banuelos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alfonso Banuelos was last updated on September 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.