Individual provider Active NPI

Michelle Sarah Mourad, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1073712261
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A98521 Issued in CA
Practice address
505 Parnassus Ave
Box 0131
San Francisco, CA 94143-2204
Phone
(415) 476-2264
Fax
(415) 514-2094
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A98521 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
Box 0131
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave
Box 0131
San Francisco, CA 94143-2204
Phone (415) 476-2264

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000404 CA Practitioner - Internal Medicine 5496829434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98521CAMDMarriage & Family Therapist
A98521CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Internal Medicine CurrentSince Apr 13, 2011 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Apr 13, 2011 Accepting new patients
University of California San Francisco CurrentSince Apr 13, 2011 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jun 15, 2008 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 13, 2011 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients
Hope Hospice Inc. PastSince Jan 1, 2024 Accepting new patients

Locations

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

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

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

505 Parnassus Ave
#M1283
San Francisco, CA 94143
Phone (415) 476-2264

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

505 Parnassus Ave
Ste M1283
San Francisco, CA 94143

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

533 Parnassus Ave
Ste U138
San Francisco, CA 94143
Phone (415) 443-0017

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

505 Parnassus Ave
#131
San Francisco, CA 94143
Phone (415) 476-2264

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
By the Bay HealthLarkspur, CA, CCN 557798 Home health agency Corporate Director Aug 28, 2019
By the Bay HealthSonoma, CA, CCN 557041 Home health agency Corporate Director Aug 28, 2019
Hope Hospice, IncPleasanton, CA, CCN 051601 Hospice Corporate Director Jan 1, 2024
Community Hospice of the Bay HHASan Mateo, CA, CCN 051665 Hospice Corporate Director Jan 1, 2024
By the Bay HealthLarkspur, CA, CCN 051508 Hospice Corporate Director Aug 28, 2019
By the Bay HealthSan Francisco, CA, CCN 051523 Hospice Corporate Director Aug 28, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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

Hospital & facility affiliations 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1073712261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "address_2": "BOX 0131",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-2264",
            "fax_number": "415-514-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "address_2": "BOX 0131",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-2264",
            "fax_number": "415-514-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURAD",
        "first_name": "MICHELLE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A98521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.