Individual provider Active NPI

Mark Daniel Bailey, MD

  • Ophthalmology Physician
  • San Leandro, CA
National Provider Identifier
1417530270
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A200912 Issued in CA
Practice address
15051 Hesperian Blvd Ste a
San Leandro, CA 94578-3536
Phone
(510) 276-1212
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A200912 CA Primary

Addresses

Primary practice location

15051 Hesperian Blvd Ste a
San Leandro, CA 94578-3536

Mailing address

2311 Pierce Ave
Nashville, TN 37232-0004

Other practice location 1

2311 Pierce Ave
Nashville, TN 37232-0025
Phone (615) 936-4931

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
I20250730001402 CA Practitioner - Ophthalmology 3173030483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V. Nicholas Batra M.D. Inc.Group PAC ID 3173419074, 5 clinicians

Practice addresses (Care Compare)

15051 Hesperian Blvd
A
San Leandro, CA 94578-3536
Phone (510) 357-3636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200912CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V. Nicholas Batra M.D. Inc. Ophthalmology CurrentSince Aug 1, 2025 Accepting new patients

Locations

21675 Redwood Rd
Castro Valley, CA 94546
Phone (510) 357-3636

15051 Hesperian Blvd
Ste A
San Leandro, CA 94578
Phone (510) 276-1212

Interoperability endpoints

  • Direct secure messaging: mbailey@batravision.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1417530270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 PIERCE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD STE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-276-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320025",
            "country_code": "US",
            "telephone_number": "615-936-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A200912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.