Cecily Fitzgerald, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G78596 Issued in CA

Practice address

4067 Transport St Ste B
Palo Alto, CA 94303-4914

Phone

(650) 384-0986

NPI assigned

Jul 1, 2009

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Annapolis Medical Center

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC

  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023

  DC

  Medicare reassignment
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD
• Bay Area House Call Physicians

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1609001700
  NPD (past)
• Emergency Medical Group

  • Emergency Medicine Physician
  • Watsonville, CA
  • NPI 1750395729
  NPD (past)
• Lynn E. Spitler, MD, a Medical Corporation

  dba Northern California Melanoma Center

  • Allergy & Immunology (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1205964285
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1275761959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 TRANSPORT ST STE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034914",
            "telephone_number": "650-384-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 TRANSPORT ST STE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034914",
            "telephone_number": "650-384-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CECILY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G78596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4067 Transport St Ste B",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943034914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan Fisher, MD
• Orna Fisher, MD
• Tessa Margot Fisher, LCSW
• Daniel Owen Fishman, MD
• Harvey Abraham Fishman, M.D.
• Matthew Fitzgerald, PH.D.
• Judith Fitzpatrick, MD
• Genevieve Flanders, PA-C
• Shira Flash, MD
• Lydia Victoria Flasher, PH.D.

• Emergency Medicine Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.