Active NPI
Peter B. Slabaugh, MD
- Orthopaedic Surgery of the Spine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G23442
- Practice address
- 3315 Broadway
Oakland, CA 94611-5717 - Phone
- (510) 849-2300
- Fax
- (510) 849-2333
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G23442 | CA | Primary |
Addresses
Primary practice location
3315 Broadway
Oakland, CA 94611-5717
Mailing address
200 Porter Dr
Suite 215
San Ramon, CA 94583-1587
Phone (925) 362-2166
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G234420 | Other | CA | BLUE SHIELD |
| 00G234420 | Medicaid | CA | |
| 200018732 | Other | CA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Oregon Health Sciences University School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
6955 Foothill Blvd
Suite 200
Oakland, CA 94605-2426
Phone (510) 567-5704
Hospital & facility affiliations
- Highland Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23442 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Peter B Slabaugh | Past | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pslabaugh14564@alamedahs.direct-ci.com
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1114105905
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1558749440
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1447227392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "SUITE 215",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587",
"telephone_number": "925-362-2166",
"fax_number": "855-574-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115717",
"telephone_number": "510-849-2300",
"fax_number": "510-849-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLABAUGH",
"first_name": "PETER",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G23442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G234420",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G234420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "200018732",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.