Individual provider Active NPI

Phillip Oliver Coffin, M.D.

  • Hospitalist Physician
  • Seattle, WA
National Provider Identifier
1265616296
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A119921 Issued in CA
Practice address
1100 9TH Ave
Seattle, WA 98101-2756
Phone
(206) 341-0860
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 245672 NY
Internal Medicine Physician 207R00000X MD60070574 WA
Hospitalist Physician 208M00000X MD60070574 WA
Hospitalist Physician 208M00000X A119921 CA Primary

Addresses

Primary practice location

1100 9TH Ave
Seattle, WA 98101-2756

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 869-6883

Other identifiers 2

IdentifierTypeStateIssuer
P00877589OtherWARRMC
8563645MedicaidWA

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
I20120508000194 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 7719033653 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of California, San Francisco School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245672NYMDInternal Medicine Physician
A119921CAMDHospitalist Physician
MD60070574WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Jul 30, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince May 1, 2012 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 30, 2020 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jul 30, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince May 1, 2012 Accepting new patients
City and County of San Francisco CurrentSince Oct 26, 2019 Accepting new patients
University of California San Francisco CurrentSince Jul 30, 2020 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
University of California San Francisco Internal Medicine CurrentSince Jul 30, 2020 Accepting new patients
City & County of San Francisco CurrentSince Oct 26, 2019 Accepting new patients
City & County of San Francisco Past Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

350 Hawthorne Ave
Rm 2346
Oakland, CA 94609
Phone (510) 655-4000

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

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

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

513 Parnassus Ave
Ste S380
San Francisco, CA 94143
Phone (415) 476-9362

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

Interoperability endpoints

  • Direct secure messaging: pcoffin169136@hisp.ehr.sutterhealth.org

Organizations & group practices 18

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 18

Hospital & facility affiliations 4

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1265616296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-869-6883",
            "fax_number": "206-515-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-341-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "PHILLIP",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245672",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60070574",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60070574",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A119921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00877589",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8563645",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.