Individual provider Active NPI

Elyssa Feinberg, MD

  • Surgery Physician
  • Bronx, NY
National Provider Identifier
1265713655
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A119564 Issued in CA
Practice address
3400 Bainbridge Ave
Floor 4
Bronx, NY 10467-2404
Phone
(718) 920-4800
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A119564 CA Primary

Addresses

Primary practice location

3400 Bainbridge Ave
Floor 4
Bronx, NY 10467-2404

Mailing address

750 Welch Road
Palo Alto, CA 94304

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
I20120809000398 CA Practitioner - General SurgeryPractitioner - Other (Physician) 0749436582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19845 Lake Chabot Rd
Castro Valley, CA 94546-4055
Phone (510) 538-5500

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (909) 576-5850

Hospital & facility affiliations

  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119564CAMDMarriage & Family Therapist
A119564CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma and Acute Care Surgery Specialists Inc Surgery Current Accepting new patients
Elyssa J Feinberg MD PC Surgery CurrentSince Aug 1, 2020 Accepting new patients
Bay Area Trauma and Acute Care Surgical Specialists Surgery Current Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients
Stanford Health Care Surgery Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

19845 Lake Chabot Rd
Ste 200
Castro Valley, CA 94546
Phone (510) 538-4500

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

Interoperability endpoints

  • Direct secure messaging: efeinberg208553@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 2

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1265713655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WELCH ROAD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BAINBRIDGE AVE",
            "address_2": "FLOOR 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672404",
            "telephone_number": "718-920-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "ELYSSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A119564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.