EAST BAY CARDIAC SURGERY CENTER MEDICAL GROUP
NPI 1609986777
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Oakland, CA
About East Bay Cardiac Surgery Center Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY CARDIAC SURGERY CENTER MEDICAL GROUP (NPI 1609986777), doing business as Iverson & Stanten Cardiac & Thoracic Surgery Medical Group, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Oakland, California and active in the NPI registry since August 2006. The organization lists Junaid Hameed Khan, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
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)
East Bay Cardiac Surgery Center Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to East Bay Cardiac Surgery Center Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 East Bay Cardiac Surgery Center Medical Group's NPI number?
The NPI number for East Bay Cardiac Surgery Center Medical Group is 1609986777. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider was formerly known as Iverson & Stanten Cardiac & Thoracic Surgery Medical Group.
Where is East Bay Cardiac Surgery Center Medical Group located?
East Bay Cardiac Surgery Center Medical Group is located at 3300 Webster St Suite 500, Oakland, CA 94609. The listed phone number is (510) 465-6600.
What is East Bay Cardiac Surgery Center Medical Group's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is East Bay Cardiac Surgery Center Medical Group enrolled in Medicare?
Yes. East Bay Cardiac Surgery Center Medical Group is registered in the Medicare PECOS enrollment system.
When is East Bay Cardiac Surgery Center Medical Group'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 November 30, 2026. 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 East Bay Cardiac Surgery Center Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to East Bay Cardiac Surgery Center Medical Group, in Nurse Practitioner and Thoracic Surgery. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East Bay Cardiac Surgery Center Medical Group was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# East Bay Cardiac Surgery Center Medical Group · NPI 1609986777
Thoracic Surgery (Cardiothoracic Vascular Surgery) organization in Oakland, California. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1609986777 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **Organization subpart:** No
- **Authorized official:** Junaid Khan, MANAGING PARTNER
## Practice location
- **Address:** 3300 WEBSTER ST, SUITE 500, Oakland, CA 94609-3117
- **Phone:** (510) 465-6600 · **Fax:** (510) 839-0806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Thoracic Surgery (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2015
- **Other identifiers:** Medicaid GR0060340 (CA); Other ZZZ03169Z (CA); Medicare PIN MMM00296M (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609986777) · Data from the CMS NPPES public registry.