NPIMap

Individual provider Active NPI

Sophia N Mirviss, M.D.

  • Family Medicine Physician
  • Berkeley, CA
National Provider Identifier
1295874956
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67981 Issued in CA
Practice address
3000 Colby St
Ste 201
Berkeley, CA 94705-2058
Phone
(415) 920-2700
Fax
(415) 920-2705
NPI assigned
Feb 6, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G67981 CA Primary

Addresses

Primary practice location

3000 Colby St
Ste 201
Berkeley, CA 94705-2058

Mailing address

3000 Colby St
Ste 201
Berkeley, CA 94705-2058
Phone (415) 876-5762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090110000090 CA Practitioner - Family Practice 4587751789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sophia N Mirviss MD IncGroup PAC ID 9830528173, 2 clinicians

Practice addresses (Care Compare)

3000 Colby St
Suite 201
Berkeley, CA 94705-2058
Phone (510) 843-0692

Hospital & facility affiliations

  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • BLC Homehealth Inc Home health agency, San Leandro, CA, CCN 053137
  • Crossroads Home Health & Hospice Home health agency, San Francisco, CA, CCN 557796
  • Vision Home Health Care Home health agency, Concord, CA, CCN 058479
  • Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as apm
Quality
56.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sophia N. Mirviss, M.D., Inc. CurrentSince Apr 1, 2020 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Wellspring Medical Group, Inc. PastSince Apr 1, 1999 Accepting new patients

Locations

3000 Colby St
Ste 201
Berkeley, CA 94705
Phone (510) 843-0692

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1295874956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "STE 201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "415-876-5762",
            "fax_number": "415-876-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "STE 201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "415-920-2700",
            "fax_number": "415-920-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRVISS",
        "first_name": "SOPHIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.