MOHAMMAD EZZATI M.D.
NPI 1700030418
Obstetrics & Gynecology - Reproductive Endocrinology in San Jose, CA

Active since November 07, 2008PECOS EnrolledAccepts Medicare Assignment
2581 SAMARITAN DR, SUITE 308, SAN JOSE, CA 95124(650) 943-7000 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mohammad Ezzati M.d. NPPES

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

MOHAMMAD EZZATI M.D. (NPI 1700030418) is an individual reproductive endocrinology provider in San Jose, California, licensed in California (A135887) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1700030418
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NameMOHAMMAD EZZATICredential: M.D.
Location Address2581 SAMARITAN DR, SUITE 308San Jose, CA 95124-4113
Mailing Address2350 W. El Camino Real, 2nd FlrMountain View, CA 94040-6203 · (650) 934-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 7, 2008
Last NPPES UpdateJuly 28, 2015
NPI 1700030418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License Licensed in CA · A135887
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License P1995 (TX)
2581 SAMARITAN DR, San Jose, CA 95124

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

Mohammad Ezzati M.d. 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 ID3173786415
PECOS Enrollment IDI20150812008069
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 95124 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.

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.

Urology
2581 SAMARITAN DR, SUITE 200
SAN JOSE, CA 95124
Clinic/Center (Ambulatory Surgical)
2581 SAMARITAN DR, SUITE 308
SAN JOSE, CA 95124
Obstetrics & Gynecology (Reproductive Endocrinology)
2581 SAMARITAN DR, SUITE 302
SAN JOSE, CA 95124
Clinic/Center (Dental)
2581 SAMARITAN DR, SUITE #310
SAN JOSE, CA 95124
Specialist
2581 SAMARITAN DR, SUITE 302
SAN JOSE, CA 95124
Urology (Pediatric Urology)
2581 SAMARITAN DR, STE 200
SAN JOSE, CA 95124
Nurse Practitioner
2581 SAMARITAN DR, SUITE 302
SAN JOSE, CA 95124
Dentist (Periodontics)
2581 SAMARITAN DR, SUITE 310
SAN JOSE, CA 95124

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 Mohammad Ezzati's NPI number?

The NPI number for Mohammad Ezzati is 1700030418. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Mohammad Ezzati located?

Mohammad Ezzati practices at 2581 Samaritan Dr Suite 308, San Jose, CA 95124. The listed phone number is (650) 943-7000.

What is Mohammad Ezzati's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Mohammad Ezzati enrolled in Medicare?

Yes. Mohammad Ezzati 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 Mohammad Ezzati was last updated on July 28, 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.