Anthony E Allen, M.D.
Individual provider Active NPI Internal Medicine Physician · Berkeley, CA
NPI 1104846054 · NPPES record last updated Aug 3, 2016
Key facts
- NPI
- 1104846054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A73148 (CA)
- Practice address
- 2512 Telegraph Ave
Ste 350
Berkeley, CA 94704-2918 - Phone
- (415) 420-4325
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of South Florida College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2512 Telegraph Ave
Suite 350
Berkeley, CA 94704-2918
Phone (415) 509-5243
Hospital & facility affiliations
- Bay Nation Home Health Services Inc
- Solano Care
- Eden Medical Center
- Bay View Rehabilitation Hospital, LLC
- McClure Post Acute
- Medical Hill Healthcare Center
- Shields Nursing Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.45 of 100
- Quality
- 51.27
- Improvement activities
- 40
- Cost
- 56.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Bay View Rehabilitation Hospital LLC |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070207000510 | CA | Practitioner - Internal Medicine | 5496757296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73148 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilledmd, Inc. | Current |
Accepting new patients |
Locations
2512 Telegraph Ave
Berkeley, CA 94704
Phone (415) 509-5243
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEHFAD/Endpoint/JEHFAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73148 | CA | Yes |
Addresses
Primary practice location
2512 Telegraph Ave
Ste 350
Berkeley, CA 94704-2918
Mailing address
2512 Telegraph Ave
Ste 350
Berkeley, CA 94704-2918
Phone (415) 420-4325
Other providers in Berkeley, CA
- Elmira Alijani
- Eman Alkaheli
- All Smiles Nemt
- Angela Allan
- Allyson Allardice
- Gaila Marie Allen
- Jessica Allen
- Kimberly Marie Allen
- Melissa Barbara Allen
- Steven Don Allen
All providers in Berkeley, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.