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SYLVIA ZAIRA CARDOUNELL MD
NPI 1366902207
Internal Medicine in San Jose, CA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
751 S BASCOM AVE, SAN JOSE, CA 95128(917) 548-3758 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sylvia Zaira Cardounell Md NPPES

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

SYLVIA ZAIRA CARDOUNELL MD (NPI 1366902207) is an individual internal medicine provider in San Jose, California, licensed in California (PTL4322) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2019).

NPPES Registry Identity

NPI1366902207
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSYLVIA ZAIRA CARDOUNELLCredential: MD
Location Address751 S BASCOM AVESan Jose, CA 95128-2699
Mailing Address1800 Stokes St Apt 64San Jose, CA 95126-4723 · (917) 548-3758
Phone(917) 548-3758
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateNovember 26, 2021
NPPES CertifiedNovember 25, 2021
✔ NPI 1366902207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · PTL4322
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.
751 S BASCOM AVE, San Jose, CA 95128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Sylvia Zaira Cardounell 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 ID749666055
PECOS Enrollment IDI20221010001789
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services105 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
121 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
45 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients

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.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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.

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

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 Sylvia Cardounell's NPI number?

The NPI number for Sylvia Cardounell is 1366902207. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Sylvia Cardounell located?

Sylvia Cardounell practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (917) 548-3758.

What is Sylvia Cardounell's specialty?

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

Is Sylvia Cardounell enrolled in Medicare?

Yes. Sylvia Cardounell 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.

What insurance does Sylvia Cardounell accept?

Health plans from Blue Cross Blue Shield of Arizona list Sylvia Cardounell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sylvia Cardounell was last updated on November 26, 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.