Individual provider Active NPI

Katharina Pellegrin, M.D.

  • Surgery of the Hand (Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1114994233
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
A63604 Issued in CA
Practice address
900 Hyde St
San Francisco, CA 94109-4806
Phone
(415) 353-6255
Fax
(850) 913-6961
NPI assigned
Mar 7, 2006
Reactivated
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X A63604 CA Primary
Trauma Surgery Physician 2086S0127X 0101265079 VA
Surgery Physician 208600000X 0101265079 VA
Surgical Critical Care Physician 2086S0102X 0101265079 VA
Surgery Physician 208600000X ME141879 FL

Addresses

Primary practice location

900 Hyde St
San Francisco, CA 94109-4806

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6014

Other practice location 1

Santa Marguerita Road Building H-100
Naval Hospital Camp Pendelton, General Surgery
Camp Pendleton, CA 92055
Phone (760) 725-1356

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 827-1207

Other identifiers 1

IdentifierTypeStateIssuer
A63604MedicaidCA

Other names 1

  • Katharina Pellegrin-Fleming Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040126000976 CA Practitioner - General Surgery 6406758705 Reassigns benefits to 4 organizations
I20190204000652 VA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Hand Surgery 6406758705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141879FLMDSurgery Physician
0101265079VAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey CurrentSince Jan 19, 2026 Accepting new patients
County of Monterey Behavioral Health CurrentSince Jan 19, 2026 Accepting new patients
MCV Associated Physicians CurrentSince Mar 12, 2024 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Organizations & group practices 7

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1114994233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6014",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "415-353-6255",
            "fax_number": "850-913-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Santa Marguerita Road Building H-100",
            "address_2": "Naval Hospital Camp Pendelton, General Surgery",
            "address_purpose": "LOCATION",
            "city": "Camp Pendleton",
            "state": "CA",
            "postal_code": "92055",
            "country_code": "US",
            "telephone_number": "760-725-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-827-1207",
            "fax_number": "804-827-0701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRIN",
        "first_name": "KATHARINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A63604",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "VA",
            "license": "0101265079",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101265079",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101265079",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME141879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A63604",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINA",
            "last_name": "PELLEGRIN-FLEMING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.