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Rubiya Kausar, MD

Internal Medicine · San Jose

NPI 1053842542

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
2 carriers
Office
1
Since medical school
13 years
Graduated 2013

Offices

1 location · El Camino Health Medical Network LLC · 202 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health. That is not proof they admit you there this week.

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kausar’s office at (408) 871-3400 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Aetna Medicare Eagle (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (PPO)Aetna MedicareListedSep 8, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A171350 · Current

Licensed to practise in California · since 2021 · expires 2027-01-31 · Rajiv Gandhi University of Health Sciences, Bangalore Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Internal Medicine

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
83.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$46,630

Medicare paid this office $46,630 for 111 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)83$25,318$113
Long return visit (40+ min)29$6,258$142
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's81$3,047$15
Short return visit (20+ min)23$2,292$72
New patient visit (45+ min)15$1,602$107
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)83$25,318$113
Long return visit (40+ min)29$6,258$142
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's81$3,047$15
Short return visit (20+ min)23$2,292$72
New patient visit (45+ min)15$1,602$107
Influenza vaccine split virus, preservative free15$1,279$80
Administration of influenza virus vaccine16$703$39
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report18$211$10

Who their Medicare patients are

111 Original Medicare patients in 2024. Average age 75 · Women 81% · Also on Medicaid 16% · Health risk score 1.32. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 38% · Chronic kidney disease 29% · Depression 22% · Coronary heart disease 21% · Cancer 15% · Atrial fibrillation 15% · Heart failure 14% · Dementia 10%.

The office billed $190,743, Medicare allowed $63,592 and paid $46,630; for 649 services of 32 kinds; $3,721 of it was for drugs given in the office and $42,909 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024111649751.32$190,743$46,630
202398417751.28$152,508$36,503
2022113248731.03$79,872$19,375

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 8 services

Original Medicare services billed in 2023
Return visit (30+ min)64$15,172$111
Long return visit (40+ min)29$6,090$156
Short return visit (20+ min)34$4,462$78
New patient visit (45+ min)31$3,479$112
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit13$2,027$156
Influenza vaccine split virus, preservative free11$784$71
Administration of influenza virus vaccine14$517$37
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report22$312$12

2022: 4 services

Original Medicare services billed in 2022
Return visit (30+ min)39$6,310$117
Short return visit (20+ min)45$5,134$83
New patient visit (30+ min)25$1,934$77
New patient visit (45+ min)16$1,679$105

Drugs they prescribed that Part D paid

$239,198

Pharmacies billed $239,198 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 1% of their Part D prescriptions (50 of 3,478) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

3,091 generic and 361 brand-name prescriptions · $239,198 in drug cost · 132 antibiotic prescriptions to 77 people · 30 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Eliquis42$47,075$1,121
Jardiance33$36,094$1,094
Rybelsus18$22,665$1,259
Ozempic17$19,420$1,142
Atorvastatin308$4,690$15
See all 74 drugs
Every Part D drug this clinician prescribed
Eliquis42$47,075$1,121
Jardiance33$36,094$1,094
Rybelsus18$22,665$1,259
Ozempic17$19,420$1,142
Atorvastatin308$4,690$15
Losartan183$2,683$15
Midodrine12$1,968$164
Levothyroxine122$1,968$16
Lantus Solostar16$1,776$111
Fluticasone-Salmeterol12$1,728$144
Amlodipine Besylate168$1,625$10
Lisinopril122$1,623$13
Gabapentin114$1,478$13
Metformin106$1,133$11
Pantoprazole82$1,109$14
Albuterol Sulfate Hfa38$1,014$27
Humalog Kwikpen U-10012$1,003$84
Metformin Hcl Er76$908$12
Repaglinide20$892$45
Omeprazole44$772$18
Diclofenac38$696$18
Simvastatin52$682$13
Clopidogrel28$650$23
Olmesartan Medoxomil28$638$23
Carvedilol56$610$11
Losartan-Hydrochlorothiazide23$607$26
Propranolol11$604$55
Sertraline33$604$18
Hydralazine38$578$15
Escitalopram27$569$21
Tamsulosin35$543$16
Famotidine19$513$27
Pravastatin26$481$19
Metoprolol56$475$8
Hydrocodone-Acetaminophen37$466$13
Mirtazapine17$465$27
Diltiazem 24hr Er (Cd)15$463$31
Rosuvastatin22$456$21
Metoprolol32$455$14
Glipizide Er20$446$22
Atenolol61$437$7
Oxybutynin Chloride Er11$407$37
Allopurinol23$364$16
Valsartan14$343$25
Benazepril20$330$17
Hydrochlorothiazide57$300$5
Glimepiride22$290$13
Trazodone33$274$8
Spironolactone21$238$11
Furosemide38$232$6
Isosorbide Mononitrate Er15$230$15
Nitrofurantoin Mono-Macro27$219$8
Alendronate14$216$15
Meclizine31$212$7
Montelukast13$207$16
Fluticasone Propionate24$201$8
Lisinopril-Hydrochlorothiazide17$196$12
Triamcinolone Acetonide18$176$10
Duloxetine21$152$7
Cephalexin22$138$6
Fluoxetine16$135$8
Tizanidine22$127$6
Amoxicillin-Clavulanate Potass27$125$5
Glipizide12$123$10
Benzonatate16$122$8
Lactulose15$116$8
Vitamin D213$113$9
Zolpidem35$90$3
Ibuprofen27$68$3
Azithromycin17$61$4
Quetiapine21$36$2
Lorazepam15$26$2
Sulfamethoxazole-Trimethoprim11$24$2
Prednisone19$18$1

Year by year

Part D prescribing by year
20243,4783951% (50)10%$239,198
20232,4193502% (46)12%$213,277
2022467199None9%$24,955
2020206290% (0)13%$15,259
2019585630% (0)16%$40,437
2018349410% (0)None$14,480
201741None0% (0)None$1,587

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 57 drugs

Part D drugs prescribed in 2023
Eliquis44$45,525$1,035
Jardiance17$21,990$1,294
Atorvastatin179$2,690$15
Repaglinide18$1,686$94
Oxybutynin Chloride Er13$1,483$114
Losartan108$1,408$13
Pregabalin11$1,336$121
Gabapentin73$1,335$18
Allopurinol14$1,323$95
Amlodipine Besylate124$1,322$11
Albuterol Sulfate Hfa35$1,265$36
Divalproex11$1,172$107
Levothyroxine73$1,153$16
Lisinopril102$1,138$11
Diclofenac35$1,105$32
Temazepam13$921$71
Hydrocodone-Acetaminophen32$783$24
Pravastatin19$733$39
Propranolol16$712$45
Metformin69$651$9
Omeprazole27$610$23
Metoprolol27$598$22
Hydralazine32$586$18
Clopidogrel19$531$28
Atenolol57$530$9
Simvastatin37$507$14
Pantoprazole40$436$11
Famotidine19$422$22
Escitalopram11$379$34
Hydrochlorothiazide60$375$6
Metoprolol37$371$10
Cephalexin31$330$11
Carvedilol37$311$8
Lisinopril-Hydrochlorothiazide22$302$14
Losartan-Hydrochlorothiazide13$295$23
Paroxetine11$268$24
Triamcinolone Acetonide21$255$12
Glipizide Er11$249$23
Ketoconazole11$248$23
Zolpidem18$236$13
Metformin Hcl Er30$219$7
Benazepril14$208$15
Alendronate19$200$11
Sertraline12$193$16
Tamsulosin18$184$10
Trazodone28$177$6
Furosemide44$171$4
Amoxicillin-Clavulanate Potass17$166$10
Synthroid11$158$14
Oxycodone-Acetaminophen11$154$14
Meclizine17$106$6
Azithromycin12$89$7
Sulfamethoxazole-Trimethoprim14$87$6
Glipizide12$73$6
Spironolactone12$71$6
Glimepiride11$65$6
Lorazepam15$11$1

2022: 9 drugs

Part D drugs prescribed in 2022
Losartan19$405$21
Gabapentin16$335$21
Omeprazole12$248$21
Atorvastatin21$199$9
Amlodipine Besylate18$132$7
Paxlovid (Eua)12$123$10
Lisinopril20$114$6
Pantoprazole17$86$5
Prednisone12$27$2

2020: 5 drugs

Part D drugs prescribed in 2020
Atorvastatin22$176$8
Metformin24$114$5
Gabapentin13$79$6
Rosuvastatin11$57$5
Amlodipine Besylate11$27$2

2019: 15 drugs

Part D drugs prescribed in 2019
Atorvastatin67$628$9
Gabapentin17$327$19
Nifedipine Er17$302$18
Metformin33$195$6
Ranitidine30$181$6
Fluticasone Propionate14$142$10
Tamsulosin13$135$10
Losartan19$114$6
Amlodipine Besylate27$99$4
Simvastatin13$41$3
Metoprolol13$40$3
Lisinopril17$38$2
Alendronate13$32$2
Spironolactone11$29$3
Hydrochlorothiazide16$19$1

2018: 11 drugs

Part D drugs prescribed in 2018
Atorvastatin32$340$11
Metoprolol12$288$24
Tamsulosin12$193$16
Gabapentin11$141$13
Fluticasone Propionate13$121$9
Lisinopril25$95$4
Ranitidine14$69$5
Amlodipine Besylate11$58$5
Metformin16$54$3
Furosemide18$50$3
Losartan14$46$3

Money from drug and device companies

$73 in 2025

Industry payments by year
202523None$73
202423None$56
202311None$23

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Exact SciencesCologuard Collection Kit$57
2 payments
  • Meals for Cologuard Collection Kit · 2025-11-06 · $28
  • Meals for Cologuard Collection Kit · 2025-03-19 · $29
AmgenKrystexxa$16
1 payment
  • Meals for Krystexxa · 2025-01-08 · $16
See all 3 published payments
Every published payment
Exact SciencesMeals · 2025-11-06Cologuard Collection Kit$28
Exact SciencesMeals · 2025-03-19Cologuard Collection Kit$29
AmgenMeals · 2025-01-08Krystexxa$16
See earlier years (2024, 2023)

2024: $56

Payments by company in 2024
Exact SciencesCologuard Collection Kit$41
2 payments
  • Meals for Cologuard Collection Kit · 2024-10-25 · $17
  • Meals for Cologuard Collection Kit · 2024-08-20 · $24
AmgenKrystexxa$15
1 payment
  • Meals for Krystexxa · 2024-12-11 · $15

2023: $23

Payments by company in 2023
GlaxoSmithKlineArexvy$23
1 payment
  • Meals for Arexvy · 2023-07-10 · $23

Professional record

NPI
1053842542
Licence
CA A171350California A171350: Current · expires 2027-01-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
227 N Jackson Ave, San Jose, CA, 95116
NPI first listed
2017-03-25
NPI last updated
2022-05-16
NPI record certified
2022-05-16

This is when the NPI record was last certified, not a medical board exam.