NPIMap

Individual provider Active NPI

Kasra Eliasieh, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Berkeley, CA
National Provider Identifier
1194954677
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
A132513 Issued in CA
Practice address
3017 Telegraph Ave Ste 210
Berkeley, CA 94705-2049
Phone
(510) 899-7466
Fax
(510) 899-6024
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A132513 CA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A132513 CA Primary

Addresses

Primary practice location

3017 Telegraph Ave Ste 210
Berkeley, CA 94705-2049

Mailing address

3017 Telegraph Ave Ste 210
Berkeley, CA 94705-2049
Phone (510) 899-7466

Other practice location 1

300 Pasteur Dr
Palo Alto, CA 94304-2203
Phone (650) 723-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kasra@lunata.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000332 CA Practitioner - Ophthalmology 8628232865 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Davis School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

3017 Telegraph Ave
Suite 210
Berkeley, CA 94705-2049
Phone (510) 899-7466

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Merit-based Incentive Payment System (MIPS)

Final score
15.83 of 100Reported as individual
Quality
21.67
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Merit-based Incentive Payment System (MIPS)

Final score
85.63 of 100Reported as group
Quality
94
Improvement activities
40
Cost
43.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132513CAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Alameda Health System Current Accepting new patients
Eliasieh Medical Corporation Ophthalmology CurrentSince Aug 14, 2024 Accepting new patients
Alameda Health System CurrentSince Jan 15, 2015 Accepting new patients
Alameda Health System CurrentSince Jan 15, 2015 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Alameda Health System Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637

3017 Telegraph Ave
Ste 210
Berkeley, CA 94705
Phone (484) 432-2177

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: keliasieh14164@alamedahs.direct-ci.com
  • Direct secure messaging: kasra@lunata.emadirect.md

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1194954677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052049",
            "telephone_number": "510-899-7466",
            "fax_number": "510-899-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052049",
            "telephone_number": "510-899-7466",
            "fax_number": "510-899-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943042203",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIASIEH",
        "first_name": "KASRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A132513",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A132513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kasra@lunata.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3017 Telegraph Ave Ste 210",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947052049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.