Active NPI
Maude E Dull, MD
- Pediatric Critical Care Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- C152808
- Practice address
- 550 16TH St FL 5
San Francisco, CA 94158-2545 - Phone
- (415) 476-5153
- NPI assigned
- Apr 27, 2006
- Last updated
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 228170 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 228170 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | C152808 | CA | Primary |
Addresses
Primary practice location
550 16TH St FL 5
San Francisco, CA 94158-2545
Mailing address
3333 California St # S1-10
San Francisco, CA 94118-1981
Phone (415) 476-5153
Other practice location 1
245 Governors Dr SE
Huntsville, AL 35801-2700
Phone (256) 265-1000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00028182101 | Other | UNIVERA | |
| 071221000006 | Other | FIDELIS | |
| 1020856180001 | Medicaid | PA | |
| 000529327003 | Other | BC/BS | |
| 02889949 | Medicaid | NY | |
| 1214337 | Other | IHA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Albany Medical College of Union University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1975 4TH St
San Francisco, CA 94143-2351
Phone (415) 476-1000
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C152808 | CA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Internal Medicine | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Pediatric Critical Care Medicine | Current | Accepting new patients |
| UCSF Medical Group Business Services | Internal Medicine | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| The Health Care Authority of the City of Huntsville | Past | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Locations
1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
550 16th St
Fl 5
San Francisco, CA 94158
Phone (415) 476-5153
Interoperability endpoints
- mdull98436@direct-ucsfmedicalcenter.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
Pediatric Critical Care Medicine
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba UCSF Medical Center Adult Chronic Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
-
dba Huntsville Hospital
- Lithotripsy Clinic/Center
- Huntsville, AL
- NPI 1215988753
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1184681603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 CALIFORNIA ST # S1-10",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181981",
"telephone_number": "415-476-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 16TH ST FL 5",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582545",
"telephone_number": "415-476-5153"
}
],
"practiceLocations": [
{
"address_1": "245 Governors Dr SE",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358012700",
"country_code": "US",
"telephone_number": "256-265-1000",
"fax_number": "256-265-7065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DULL",
"first_name": "MAUDE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "228170",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "228170",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "C152808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00028182101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "071221000006",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020856180001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000529327003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02889949",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1214337",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.