MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION
NPI 1821167628
Radiology - Vascular & Interventional Radiology in San Jose, CA
About Minimally Invasive Surgical Solutions Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION (NPI 1821167628) is a healthcare organization registered as a vascular & interventional radiology in San Jose, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Maria Andrade, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Minimally Invasive Surgical Solutions Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Minimally Invasive Surgical Solutions Medical Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1083684
Minimally Invasive Surgical Solutions · San Jose, CAFrequently 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 Minimally Invasive Surgical Solutions Medical Corporation's NPI number?
The NPI number for Minimally Invasive Surgical Solutions Medical Corporation is 1821167628. It was assigned to this organization in the NPPES registry on November 7, 2006.
Where is Minimally Invasive Surgical Solutions Medical Corporation located?
Minimally Invasive Surgical Solutions Medical Corporation is located at 105 N Bascom Ave Ste 104, San Jose, CA 95128. The listed phone number is (408) 918-0405.
What is Minimally Invasive Surgical Solutions Medical Corporation's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Minimally Invasive Surgical Solutions Medical Corporation enrolled in Medicare?
Yes. Minimally Invasive Surgical Solutions Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Minimally Invasive Surgical Solutions Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Minimally Invasive Surgical Solutions Medical Corporation. 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. The largest specialties are Diagnostic Radiology (3), Interventional Radiology (3) and Cardiovascular Disease (Cardiology) (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Minimally Invasive Surgical Solutions Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1083684) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Minimally Invasive Surgical Solutions Medical Corporation was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Minimally Invasive Surgical Solutions Medical Corporation · NPI 1821167628
Vascular & Interventional Radiology organization in San Jose, California. Organization record, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1821167628 (Entity type: Organization)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Maria Andrade, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 105 N BASCOM AVE STE 104, San Jose, CA 95128-1811
- **Phone:** (408) 918-0405 · **Fax:** (408) 918-0409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (3), Interventional Radiology (3), Cardiovascular Disease (Cardiology) (2); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
- **Other identifiers:** Medicaid GR0095460 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821167628) · Data from the CMS NPPES public registry.