Individual provider Active NPI

Ralph R Coughlin, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • San Francisco, CA
National Provider Identifier
1417902172
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
C42267 Issued in CA
Practice address
1001 Potrero Ave
RM 3A36
San Francisco, CA 94110-3518
Phone
(415) 206-8811
Fax
(415) 647-3733
NPI assigned
May 23, 2006
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C42267 CA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X C42267 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
RM 3A36
San Francisco, CA 94110-3518

Mailing address

PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 206-3103

Other identifiers 2

IdentifierTypeStateIssuer
00C422670MedicaidCA
200032661OtherRAILROAD MEDICARE

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
I20080305000539 CA Practitioner - Orthopedic Surgery 3779540190 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

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 Nov 10, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2007 Accepting new patients
University of California SFGH Medical Group Orthopaedic Surgery CurrentSince Jan 1, 1993 Accepting new patients
City & County of San Francisco Current Accepting new patients
UCSF Medical Group Business Services Orthopaedic Surgery CurrentSince Jul 1, 2007 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 1, 1993 Accepting new patients
Regents Univ of California UCSF Orthopaedic Surgery CurrentSince May 20, 2021 Accepting new patients
City & County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

750 Redwood Hwy Frontage Rd
Ste 1204
Mill Valley, CA 94941
Phone (415) 384-4778

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

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

2550 23rd St
Fl 2
San Francisco, CA 94110
Phone (628) 206-8812

1001 Potrero Ave
Ste 1703M
San Francisco, CA 94110

1001 Potrero Ave
Bldg 53RD
San Francisco, CA 94110
Phone (628) 206-8265

2550 23rd St
Bldg 9
San Francisco, CA 94110
Phone (415) 206-5270

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

1001 Potrero Ave
Rm 3A36
San Francisco, CA 94110
Phone (415) 206-8811

1500 Owens St
Ste 170
San Francisco, CA 94158
Phone (415) 353-9400

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

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

1001 Potrero Ave
Ste 170
San Francisco, CA 94110

1580 Valencia St
Ste 106
San Francisco, CA 94110
Phone (415) 641-3430

1001 Potrero Ave
#3M
San Francisco, CA 94110
Phone (415) 206-5072

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
Fl 3
San Francisco, CA 94143
Phone (415) 353-2739

4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1417902172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "415-206-3103",
            "fax_number": "415-206-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "RM 3A36",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8811",
            "fax_number": "415-647-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "RALPH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C42267",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "C42267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C422670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200032661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.