Omid Hajiseyedjavadi, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in San Jose, California. He went to Warren Alpert Medical School Of Brown University and graduated in 1999 and has 26 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Monument Health Rapid City Hospital Inc and his current practice location is
105 N Bascom Ave Ste 202, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 356-7205.
Omid Hajiseyedjavadi is licensed to practice in California (license number C55150) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720032808.
Physician's Profile
| Full Name | Omid Hajiseyedjavadi |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 26 Years |
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| Location | 105 N Bascom Ave Ste 202, San Jose, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Omid Hajiseyedjavadi attended and graduated from Warren Alpert Medical School Of Brown University in 1999
NPI Data:
- NPI Number: 1720032808
- Provider Enumeration Date: 05/21/2006
- Last Update Date: 11/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507878378
- Enrollment ID: I20150205000015
Medical Identifiers
Medical identifiers for Omid Hajiseyedjavadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720032808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 101490 (Wisconsin) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 24220 (Nevada) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 44129 (Kentucky) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036.130433 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 165090 (Montana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C55150 (California) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Omid Hajiseyedjavadi allows following entities to bill medicare on his behalf.
| Entity Name | Rideout Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720088354
PECOS PAC ID: 9234036088
Enrollment ID: O20040610000983 |
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| Entity Name | Omid H Javadi Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437555836
PECOS PAC ID: 9931425980
Enrollment ID: O20150310001208 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omid Hajiseyedjavadi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Omid Hajiseyedjavadi, MD
16696 Cypress Way,
Los Gatos, CA 95030-7531
Ph: (408) 896-9450 | Omid Hajiseyedjavadi, MD
105 N Bascom Ave Ste 202,
San Jose, CA 95128-1811
Ph: (408) 356-7205 |
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