JIMMIE MAR D.O.
NPI 1649705567
Internal Medicine in San Jose, CA

Q: What is Jimmie Mar's NPI number?

The NPI number for Jimmie Mar is 1649705567. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Q: What is Jimmie Mar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jimmie Mar was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 28, 2017PECOS EnrolledAccepts Medicare Assignment

1721 TECHNOLOGY DR, SAN JOSE, CA 95110(408) 436-3300 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2022, Dec 8, 2020, Apr 28, 2017 (3 updates tracked since 2017).

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About Jimmie Mar D.o. NPPES

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

JIMMIE MAR D.O. (NPI 1649705567) is an individual internal medicine provider in San Jose, California, licensed in California (20A20119) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649705567

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJIMMIE MARCredential: D.O.

Location Address1721 TECHNOLOGY DRSan Jose, CA 95110-1305

Mailing Address1721 Technology DrSan Jose, CA 95110-1305 · (408) 436-3300

Phone(408) 436-3300

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2017

Enumeration DateApril 28, 2017

Last NPPES UpdateSeptember 5, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2022

✔ NPI 1649705567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · 20A20119✔ Licensed in NY · 305596

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1721 TECHNOLOGY DR, San Jose, CA 95110

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Secondary Practice Locations 2

Location 1600 Ivy StElmira, NY 14905-1627 · Phone (775) 830-7009

Location 2830 Washington StWatertown, NY 13601-4099 · Phone (315) 785-4000

Accepted Insurance

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

Jimmie Mar D.o. 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 ID4688091168

PECOS Enrollment IDI20250328001106

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500084

Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County

Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95110 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

2 suppliers26 claims26 services$15.35 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

2 suppliers30 claims30 services$83.12 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$21.86 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$8.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

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

ISABELLA N JAJEH

Physical Therapist