Active NPI
Marianne Sommerville, MD
- Hospitalist Physician
- Berkeley, CA
National Provider Identifier
1457403818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- G58224
- Practice address
- 2450 Ashby Ave RM 3040
Berkeley, CA 94705-2067 - Phone
- (510) 204-3977
- Fax
- (510) 204-5429
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G58224 | CA | |
| Obstetrics Physician | 207VX0000X | 270429 | NY | |
| Hospitalist Physician | 208M00000X | G58224 | CA | Primary |
Addresses
Primary practice location
2450 Ashby Ave RM 3040
Berkeley, CA 94705-2067
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 204-3977
Other practice location 1
550 1st Ave
Labor & Delivery, 8 West
New York, NY 10016-6402
Phone (858) 212-2945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270429 | NY | MD | Obstetrics Physician |
| G58224 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Interoperability endpoints
- marianne.sommervillemd.p3@direct.cvr.nextgenshare.com
Organizations & group practices 3
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.
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1619912052
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1457403818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "510-204-3977",
"fax_number": "510-204-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ASHBY AVE RM 3040",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052067",
"telephone_number": "510-204-3977",
"fax_number": "510-204-5429"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_2": "Labor & Delivery, 8 West",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "858-212-2945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMMERVILLE",
"first_name": "MARIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G58224",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "270429",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "G58224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.