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Vanita H Mistry, MD

Internal Medicine · San Jose

NPI 1801327010

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1
Since medical school
9 years
University of Arizona College of Medicine, 2017

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Mistry’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A157556 · Current

Licensed to practise in California · since 2018 · expires 2028-07-31 · University of Arizona College of Medicine.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 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 Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$1,632

Medicare paid this office $1,632 for 35 people.

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

Largest Original Medicare bills
X-ray of chest, 2 views12$261$22

Who their Medicare patients are

35 Original Medicare patients in 2024. Average age 72 · Health risk score 1.70. 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 40% · Depression 31%.

The office billed $24,610, Medicare allowed $2,183 and paid $1,632; for 42 services of 18 kinds.

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
20243542721.70$24,610$1,632
20232631701.48$15,206$1,002
20222126661.58$10,344$670
20214676742.57$44,730$4,656
20201727731.50$14,572$1,773

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

2021: 1 service

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$3,137$77

Medicaid work

$562,250 in 2024

Medicaid paid $562,250 for 15,916 billed services this clinician did in 2024, up to 171 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive1,031$518,644
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit77$34,286
Short return visit (20+ min)2,377$4,081
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension95$853
Thyroid stimulating hormone (TSH)237$522
Hemoglobin A1C level394$486
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result104$406
Blood test, lipids (cholesterol and triglycerides)199$360
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, single dose15$350
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count336$279
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use19$263
HEPATITIS C ANTIBODY123$252
Medicaid work by year
202415,91644171$562,250
20238,47730145$567,012
20227,51330155$557,197
20214,39919132$617,831
2020508375$69,588
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,147$554,762
Short return visit (20+ min)2,326$5,771
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use188$1,657
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension91$1,144
Return visit (30+ min)272$935
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use39$462
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use116$372
Hemoglobin A1C level339$344
Thyroid stimulating hormone (TSH)199$283
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)550$251
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count263$233
Blood test, lipids (cholesterol and triglycerides)169$233

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,155$545,918
Short return visit (20+ min)2,367$5,833
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use123$1,975
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use59$924
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension93$783
Thyroid stimulating hormone (TSH)116$250
Hemoglobin A1C level303$227
Return visit (30+ min)113$224
HEPATITIS C ANTIBODY115$200
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count211$187
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use133$140
Blood test, lipids (cholesterol and triglycerides)118$138

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,314$613,623
Short return visit (20+ min)1,842$2,809
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES70$723
Short return visit408$528
Thyroid stimulating hormone (TSH)28$35
Blood test, lipids (cholesterol and triglycerides)14$28
Hemoglobin A1C level46$20
ELECTROLYTE PANEL57$14
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$11
Creatinine; blood58$10
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)63$10
Blood glucose (sugar) level58$8

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive207$69,495
Short return visit111$69
Short return visit (20+ min)190$24

Drugs they prescribed that Part D paid

$465,507

Pharmacies billed $465,507 in 2024.

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

Opioids were 1% of their Part D prescriptions (40 of 2,794) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%. Long-acting opioids: 90% of their opioid prescriptions.

2,203 generic and 538 brand-name prescriptions · $465,507 in drug cost · 23 antibiotic prescriptions to 18 people.

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
Ozempic65$81,134$1,248
Jardiance56$74,105$1,323
Rybelsus25$45,664$1,827
Mounjaro21$24,476$1,166
Trulicity11$20,984$1,908
See all 67 drugs
Every Part D drug this clinician prescribed
Ozempic65$81,134$1,248
Jardiance56$74,105$1,323
Rybelsus25$45,664$1,827
Mounjaro21$24,476$1,166
Trulicity11$20,984$1,908
Eliquis18$19,258$1,070
Januvia14$16,414$1,172
Tradjenta12$14,470$1,206
Belbuca21$11,013$524
Buprenorphine-Naloxone66$10,469$159
Suboxone13$9,775$752
Basaglar Kwikpen U-10024$8,661$361
Ultra-Fine Mini Pen Needle29$2,985$103
Novolog Mix 70-30 Flexpen13$2,937$226
Albuterol Sulfate Hfa39$1,415$36
Atorvastatin235$1,330$6
Gabapentin106$1,144$11
Buprenorphine13$894$69
Ultra-Fine Short Pen Needle12$869$72
Losartan72$695$10
Metformin98$689$7
Levothyroxine59$679$12
Fosinopril33$610$18
Diclofenac39$552$14
Duloxetine24$535$22
Tamsulosin47$459$10
Hydroxyzine36$423$12
Amlodipine Besylate132$356$3
Ketoconazole29$341$12
Hydralazine24$318$13
Furosemide55$303$6
Rosuvastatin20$302$15
Levetiracetam11$301$27
Glipizide Er23$300$13
Lisinopril72$256$4
Omeprazole34$234$7
Famotidine45$233$5
Trazodone34$232$7
Finasteride20$207$10
Glipizide28$207$7
Potassium Chloride13$203$16
Metformin Hcl Er20$197$10
Fluticasone Propionate30$181$6
Promethazine12$175$15
Hydrochlorothiazide61$172$3
Ciclopirox11$166$15
Metoprolol12$159$13
Simvastatin29$149$5
Baclofen20$142$7
Montelukast24$140$6
Pregabalin16$133$8
Hydrocortisone18$130$7
Chlorthalidone11$126$11
Carvedilol26$126$5
Pravastatin16$123$8
Metoprolol28$114$4
Alendronate11$112$10
Ibuprofen31$104$3
Isosorbide Mononitrate Er11$97$9
Tizanidine12$97$8
Allopurinol12$81$7
Atenolol17$76$4
Naproxen12$74$6
Acyclovir11$72$7
Clopidogrel12$70$6
Pantoprazole12$68$6
Citalopram Hbr15$54$4

Year by year

Part D prescribing by year
20242,7943051% (40)19%$465,507
20232,2852802% (37)20%$410,605
20221,9683015% (104)19%$256,544
20218632204% (30)None$82,137
202027757NoneNone$21,408
201935452NoneNone$21,075
20183814NoneNone$755

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

See the drugs prescribed each year

2023: 53 drugs

Part D drugs prescribed in 2023
Rybelsus49$71,520$1,460
Trulicity40$49,158$1,229
Jardiance37$46,385$1,254
Ozempic21$21,298$1,014
Suboxone23$18,826$819
Januvia13$18,206$1,400
Eliquis18$14,303$795
Novolog Flexpen23$13,470$586
Basaglar Kwikpen U-10027$13,018$482
Buprenorphine-Naloxone36$10,063$280
Flovent Hfa13$4,300$331
Atorvastatin160$3,728$23
Gabapentin81$3,651$45
Ultra-Fine Mini Pen Needle31$3,542$114
Metformin101$2,025$20
Amlodipine Besylate107$1,757$16
Losartan73$1,727$24
Diclofenac62$1,397$23
Sodium Chloride25$1,379$55
Lisinopril75$1,152$15
Albuterol Sulfate Hfa30$1,013$34
Levothyroxine52$798$15
Buprenorphine18$797$44
Metoprolol28$790$28
Glipizide28$690$25
Carvedilol26$668$26
Tamsulosin36$640$18
Simvastatin32$587$18
Duloxetine29$562$19
Fosinopril21$546$26
Omeprazole33$477$14
Trazodone26$441$17
Ketoconazole20$348$17
Hydralazine17$345$20
Furosemide35$312$9
Hydroxyzine19$289$15
Metoprolol28$279$10
Rosuvastatin24$276$12
Pravastatin12$259$22
Fluticasone Propionate20$242$12
Baclofen11$233$21
Finasteride22$233$11
Hydrochlorothiazide58$226$4
Allopurinol11$223$20
Glipizide Er11$216$20
Atenolol12$215$18
Isosorbide Mononitrate Er12$178$15
Famotidine21$176$8
Estradiol11$160$15
Montelukast21$148$7
Ibuprofen23$130$6
Citalopram Hbr11$99$9
Latanoprost12$86$7

2022: 50 drugs

Part D drugs prescribed in 2022
Jardiance40$46,187$1,155
Trulicity25$22,530$901
Buprenorphine-Naloxone46$14,460$314
Rybelsus14$14,396$1,028
Januvia14$13,464$962
Suboxone18$12,921$718
Belbuca16$9,742$609
Novolog Flexpen15$8,254$550
Basaglar Kwikpen U-10014$7,797$557
Buprenorphine20$6,884$344
Anoro Ellipta13$6,256$481
Flovent Hfa14$4,341$310
Lantus Solostar13$3,873$298
Gabapentin70$2,386$34
Atorvastatin122$1,686$14
Ultra-Fine Mini Pen Needle15$1,599$107
Diclofenac63$1,224$19
Levothyroxine61$1,164$19
Sodium Chloride23$1,045$45
Amlodipine Besylate103$983$10
Albuterol Sulfate Hfa21$864$41
Metformin113$838$7
Losartan64$670$10
Omeprazole38$606$16
Metoprolol23$598$26
Oxycodone-Acetaminophen11$470$43
Irbesartan11$469$43
Rosuvastatin16$468$29
Tamsulosin32$441$14
Morphine Sulfate Er12$438$36
Baclofen15$401$27
Duloxetine21$392$19
Famotidine17$278$16
Hydrochlorothiazide53$253$5
Furosemide40$249$6
Lisinopril47$245$5
Glipizide22$238$11
Hydrocodone-Acetaminophen13$231$18
Metoprolol24$217$9
Simvastatin15$208$14
Finasteride22$205$9
Ondansetron15$197$13
Fosinopril11$172$16
Pantoprazole15$151$10
Trazodone12$137$11
Fluticasone Propionate15$113$8
Naproxen20$112$6
Latanoprost12$101$8
Ibuprofen18$80$4
Tramadol17$75$4

2021: 19 drugs

Part D drugs prescribed in 2021
Trulicity26$22,482$865
Jardiance17$14,247$838
Diclofenac34$1,006$30
Albuterol Sulfate Hfa16$723$45
Atorvastatin46$689$15
Levothyroxine31$543$18
Gabapentin36$463$13
Amlodipine Besylate61$316$5
Omeprazole26$271$10
Famotidine18$266$15
Losartan23$220$10
Cyclobenzaprine11$200$18
Lisinopril19$152$8
Fluticasone Propionate13$147$11
Metformin27$136$5
Ondansetron11$117$11
Hydrochlorothiazide26$95$4
Ibuprofen19$66$3
Furosemide14$58$4

2020: 7 drugs

Part D drugs prescribed in 2020
Januvia12$5,971$498
Atorvastatin27$264$10
Levothyroxine17$177$10
Lisinopril28$101$4
Metformin11$53$5
Furosemide12$47$4
Hydrochlorothiazide15$17$1

2019: 10 drugs

Part D drugs prescribed in 2019
Atorvastatin27$252$9
Metoprolol14$238$17
Sertraline22$212$10
Lisinopril33$115$3
Carvedilol14$106$8
Omeprazole14$98$7
Metformin15$70$5
Furosemide15$62$4
Amlodipine Besylate11$40$4
Metoprolol13$27$2

Professional record

NPI
1801327010
Licence
CA A157556California A157556: Current · expires 2028-07-31
Trained
University of Arizona College of Medicine, 2017 · 9 years ago
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X); Student in a training program (390200000X)
Mailing address
2400 Moorpark Ave Ste 220b, San Jose, CA, 95128
NPI first listed
2017-03-21
NPI last updated
2020-09-18
NPI record certified
2020-09-18

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