NPIMap

Individual provider Active NPI

Ariadne Guinevere Lie, MD

  • Internal Medicine Physician
  • Emeryville, CA
National Provider Identifier
1245243484
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C175923 Issued in CA
Practice address
5800 Hollis St
Emeryville, CA 94608-2016
Phone
(510) 806-2238
NPI assigned
Aug 15, 2006
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 252084 NY
Internal Medicine Physician 207R00000X C175923 CA Primary
Pediatrics Physician 208000000X 252084 NY
Pediatrics Physician 208000000X C175923 CA

Addresses

Primary practice location

5800 Hollis St
Emeryville, CA 94608-2016

Mailing address

5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2238

Other identifiers 1

IdentifierTypeStateIssuer
05168438MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180720001576 NY Practitioner - Internal Medicine 6608069331 Reassigns benefits to 3 organizations
I20220624000507 CA Practitioner - Internal Medicine 6608069331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

20642 John Dr
Castro Valley, CA 94546-5103
Phone (888) 924-1036

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

6121 Hollis St
Emeryville, CA 94608-2077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C175923CAMDInternal Medicine Physician
252084NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Complex Care Center CurrentSince Aug 1, 2018 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Jun 14, 2022 Accepting new patients
University of Rochester CurrentSince Aug 1, 2018 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Internal Medicine Current Accepting new patients
Stanford Health Care CurrentSince Jun 14, 2022 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Jun 14, 2022 Accepting new patients
University of Rochester Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jan 1, 2022 Accepting new patients
Highland Hospital of Rochester CurrentSince Jan 1, 2022 Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

5800 Hollis St
Emeryville, CA 94608
Phone (510) 806-2100

6121 Hollis St
Ste 400
Emeryville, CA 94608
Phone (510) 266-5400

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821

905 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892

Interoperability endpoints

  • Direct secure messaging: alie387153@direct.stanfordhealthcare.org

Organizations & group practices 12

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1245243484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HOLLIS ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082016",
            "telephone_number": "510-806-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HOLLIS ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082016",
            "telephone_number": "510-806-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIE",
        "first_name": "ARIADNE",
        "middle_name": "GUINEVERE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "252084",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C175923",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "252084",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C175923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05168438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.