Individual provider Active NPI

Ian Ellis McCoy, M.D.

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1437597747
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
141087 Issued in CA
Practice address
2360 McKee Rd Ste 10
San Jose, CA 95116
Phone
(408) 729-7128
NPI assigned
Jun 8, 2013
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 256533 MA
Nephrology Physician 207RN0300X 141087 CA Primary

Addresses

Primary practice location

2360 McKee Rd Ste 10
San Jose, CA 95116

Mailing address

2360 McKee Rd Ste 10
San Jose, CA 95116-1618

Other practice location 1

777 Welch Rd Ste De
Palo Alto, CA 94304-1613
Phone (650) 723-6961

Other practice location 2

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000

Other practice location 3

777 Welch Rd Ste De
Palo Alto, CA 94304-1613
Phone (650) 723-6961

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
I20190513000407 CA Practitioner - NephrologyPractitioner - Internal Medicine 1355647223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2013
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)

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Nephrology CurrentSince Jan 30, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 30, 2020 Accepting new patients
UCSF Medical Group Business Services Nephrology CurrentSince Jan 30, 2020 Accepting new patients
South Bay Nephrology Associates, PC Nephrology CurrentSince Jan 25, 2019 Accepting new patients
University of California San Francisco CurrentSince Jan 30, 2020 Accepting new patients
Regents of the University of California Nephrology CurrentSince Jan 30, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
County of Santa Clara Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Stanford Health Care Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

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

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

500 Parnassus Ave
Ste 418
San Francisco, CA 94143

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

2360 McKee Rd
Ste 10
San Jose, CA 95116
Phone (408) 729-7128

Interoperability endpoints

  • Direct secure messaging: imccoy123545@direct-ucsfmedicalcenter.org

Organizations & group practices 14

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 14

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": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1437597747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-729-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Welch Rd Ste De",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041613",
            "country_code": "US",
            "telephone_number": "650-723-6961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Brookline Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155400",
            "country_code": "US",
            "telephone_number": "617-667-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Welch Rd Ste De",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041613",
            "country_code": "US",
            "telephone_number": "650-723-6961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "IAN",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-08",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "256533",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "141087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.