Individual provider Active NPI

Michael Sung Soo Hong, MD

  • Vascular Surgery Physician
  • San Francisco, CA
National Provider Identifier
1336342369
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A128680 Issued in CA
Practice address
1 Daniel Burnham CT
San Francisco, CA 94109-5455
Phone
(415) 221-7056
Fax
(415) 221-7058
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TRN11150 FL
Vascular Surgery Physician 2086S0129X A128680 CA Primary

Addresses

Primary practice location

1 Daniel Burnham CT
San Francisco, CA 94109-5455

Mailing address

1 Daniel Burnham CT
San Francisco, CA 94109-5455
Phone (415) 221-7056

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
I20160426000192 CA Practitioner - Vascular Surgery 7416190079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians
California Advanced Imaging Medical Associates IncGroup PAC ID 0244144228, 85 clinicians

Practice addresses (Care Compare)

1 Daniel Burnham CT
Suite 205C
San Francisco, CA 94109-5472
Phone (415) 221-7056

2333 Buchanan St
San Francisco, CA 94115-1925
Phone (415) 600-6474

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal18
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128680CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Advanced Imaging Medical Associates Inc CurrentSince May 15, 2017 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2016 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 24, 2023 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2016 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 24, 2023 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Bass Medical Group Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Bass Medical Group Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1 Daniel Burnham Ct
Ste 205C
San Francisco, CA 94109
Phone (415) 221-7046

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mhong347103@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA

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 5

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336342369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-221-7056",
            "fax_number": "415-221-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-221-7056",
            "fax_number": "415-221-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "MICHAEL",
        "middle_name": "SUNG SOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN11150",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A128680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.