Individual provider Active NPI

Megan S Balliet, D.P.M.

  • Foot Surgery Podiatrist
  • San Francisco, CA
National Provider Identifier
1063776466
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E6005 Issued in CA
Practice address
400 Parnassus Ave # a-501
San Francisco, CA 94143-2202
Phone
(415) 353-2357
NPI assigned
Jun 29, 2012
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC006389 PA
Foot Surgery Podiatrist 213ES0131X E6005 CA Primary

Addresses

Primary practice location

400 Parnassus Ave # a-501
San Francisco, CA 94143-2202

Mailing address

20130 Lake Chabot Rd Ste 202
Castro Valley, CA 94546-5340
Phone (415) 645-4525

Other practice location 1

1100 Laurel St Ste E
San Carlos, CA 94070-5000
Phone (650) 595-4148

Other practice location 2

1241 E Hillsdale Blvd Ste 200
Foster City, CA 94404-1386
Phone (650) 514-4940

Other practice location 3

1241 E Hillsdale Blvd Ste 210
Foster City, CA 94404-1296
Phone (650) 514-4940

Other practice location 4

1720 Marco Polo Way
Burlingame, CA 94010-4512
Phone (650) 692-4778

Other names 1

  • Megan E Statkewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314001385 CA Practitioner - Podiatry 3971814674 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians
UCSF Dept of SurgeryGroup PAC ID 7719886373, 211 clinicians

Practice addresses (Care Compare)

1720 Marco Polo Way
Suite a
Burlingame, CA 94010-4513
Phone (650) 692-4778

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as group
Quality
92.74
Improvement activities
40
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions18
Removal of nail tissue625
Removal or shaving of skin growth591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006389PAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Feb 9, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 9, 2024 Accepting new patients
UCSF Dept of Surgery CurrentSince Feb 9, 2024 Accepting new patients
Bay Area Foot Care, Inc Foot Surgery CurrentSince Feb 5, 2024 Accepting new patients
Certified Wound Care Specialists LLC CurrentSince Jul 10, 2018 Accepting new patients
Bay Area Foot Care Inc CurrentSince Feb 5, 2024 Accepting new patients
University of California San Francisco CurrentSince Feb 9, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Regents of the University of California CurrentSince Jul 10, 2025 Accepting new patients
University of California San Francisco CurrentSince Feb 9, 2024 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
St Luke's Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1720 Marco Polo Way
Burlingame, CA 94010
Phone (650) 692-4778

1720 Marco Polo Way
Ste A
Burlingame, CA 94010
Phone (650) 268-5260

20130 Lake Chabot Rd
Ste 202
Castro Valley, CA 94546
Phone (510) 581-1484

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

1241 E Hillsdale Blvd
Ste 200
Foster City, CA 94404
Phone (650) 514-4940

1241 E Hillsdale Blvd
Ste 200210
Foster City, CA 94404

1241 E Hillsdale Blvd
Ste 210
Foster City, CA 94404
Phone (650) 389-9383

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

990 Laurel St
Ste A
San Carlos, CA 94070
Phone (650) 593-8083

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A501
San Francisco, CA 94143
Phone (415) 353-2357

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

595 Buckingham Way
Ste 330
San Francisco, CA 94132
Phone (415) 681-2022

15035 E 14th St
Ste A
San Leandro, CA 94578
Phone (510) 278-9350

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mballiet340407@direct-ucsfmedicalcenter.org
  • Direct secure messaging: megan.balliet.1@20181.direct.athenahealth.com
  • Direct secure messaging: megan.balliet.1@21896.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1063776466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT RD STE 202",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465340",
            "telephone_number": "415-645-4525",
            "fax_number": "510-399-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE # A-501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Laurel St Ste E",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940705000",
            "country_code": "US",
            "telephone_number": "650-595-4148",
            "fax_number": "650-539-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 E Hillsdale Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944041386",
            "country_code": "US",
            "telephone_number": "650-514-4940",
            "fax_number": "833-464-3542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 E Hillsdale Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944041296",
            "country_code": "US",
            "telephone_number": "650-514-4940",
            "fax_number": "833-464-3542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Marco Polo Way",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104512",
            "country_code": "US",
            "telephone_number": "650-692-4778",
            "fax_number": "650-692-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLIET",
        "first_name": "MEGAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC006389",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "STATKEWICZ",
            "middle_name": "E",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.