Individual provider Active NPI

Marc P Cruciger, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1225121791
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G39873 Issued in CA
Practice address
711 Van Ness Ave
Ste 310
San Francisco, CA 94102-3285
Phone
(415) 668-2118
Fax
(415) 668-3461
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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 G39873 CA Primary

Addresses

Primary practice location

711 Van Ness Ave
Ste 310
San Francisco, CA 94102-3285

Mailing address

711 Van Ness Ave
Ste 310
San Francisco, CA 94102-3285
Phone (415) 668-2118

Other identifiers 1

IdentifierTypeStateIssuer
00G398730MedicaidCA

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
I20040712000679 CA Practitioner - Ophthalmology 0648258095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Francisco Eye Institute IncGroup PAC ID 0941430045, 10 clinicians

Practice addresses (Care Compare)

711 Van Ness Ave
Suite 310
San Francisco, CA 94102-3285
Phone (415) 421-8667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
82.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G39873CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Eye Institute Inc Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

711 Van Ness Ave
Ste 310
San Francisco, CA 94102
Phone (415) 421-8667

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1225121791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 VAN NESS AVE",
            "address_2": "STE 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023285",
            "telephone_number": "415-668-2118",
            "fax_number": "415-668-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 VAN NESS AVE",
            "address_2": "STE 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023285",
            "telephone_number": "415-668-2118",
            "fax_number": "415-668-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUCIGER",
        "first_name": "MARC",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G39873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G398730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.