Individual provider Active NPI

Samuel L Washington III, MD, MAS

  • Urology Physician
  • San Francisco, CA
National Provider Identifier
1275890055
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A130105 Issued in CA
Practice address
1825 4TH St FL 6
San Francisco, CA 94143-2350
Phone
(281) 630-5228
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A130105 CA Primary

Addresses

Primary practice location

1825 4TH St FL 6
San Francisco, CA 94143-2350

Mailing address

550 16TH St # 1695
San Francisco, CA 94143-2549
Phone (281) 630-5228

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
I20180705002620 CA Practitioner - Urology 9436440815 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, San Francisco School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 476-3372

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Mar 31, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2018 Accepting new patients
City & County of San Francisco CurrentSince Mar 31, 2020 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2018 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2018 Accepting new patients
University of California SFGH Medical Group Urology CurrentSince Jul 1, 2018 Accepting new patients
UCSF Medical Group Business Services Urology CurrentSince Jul 1, 2018 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

513 Parnassus Ave
#S321
San Francisco, CA 94143
Phone (415) 476-1239

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

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

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

1855 4th St
Fl 6
San Francisco, CA 94143

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

550 16th St
#1695
San Francisco, CA 94143

1001 Potrero Ave
Rm 3A20
San Francisco, CA 94110
Phone (415) 206-8806

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

1855 4th St
San Francisco, CA 94143
Phone (415) 353-2566

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Interoperability endpoints

  • Direct secure messaging: swashington9392@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1275890055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST # 1695",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432549",
            "telephone_number": "281-630-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 4TH ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "281-630-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD, MAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-04-30",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A130105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.