Individual provider Active NPI

David Phong Bui, MD

  • Ophthalmology Physician
  • Alameda, CA
National Provider Identifier
1104977636
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A63926 Issued in CA
Practice address
2241 Central Ave
Suite a
Alameda, CA 94501-4460
Phone
(510) 522-0377
Fax
(510) 522-5372
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A63926 CA Primary

Addresses

Primary practice location

2241 Central Ave
Suite a
Alameda, CA 94501-4460

Mailing address

2241 Central Ave
Suite a
Alameda, CA 94501-4460
Phone (510) 522-0377

Other identifiers 1

IdentifierTypeStateIssuer
00A639260MedicaidCA

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
I20120417000527 CA Practitioner - Ophthalmology 1557578895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SF Bay EyeGroup PAC ID 6305133893, 4 clinicians

Practice addresses (Care Compare)

1442 Webster St
Alameda, CA 94501-3339
Phone (510) 522-0377

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
95.61
Improvement activities
40
Cost
74.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery237

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Sep 16, 1975 Accepting new patients
SF Bay Eye Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Sep 16, 1975 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

2241 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 522-0377

1442 Webster St
Alameda, CA 94501
Phone (510) 522-0377

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

Interoperability endpoints

  • Direct secure messaging: dbui@alamedaeye.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1104977636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014460",
            "telephone_number": "510-522-0377",
            "fax_number": "510-522-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014460",
            "telephone_number": "510-522-0377",
            "fax_number": "510-522-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "DAVID",
        "middle_name": "PHONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A63926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A639260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.