Active NPI
Lillie Akram Mosaddegh, MD
- Ophthalmology Physician
- San Francisco, CA
National Provider Identifier
1487712071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G79847
- Practice address
- 380 W Portal Ave
Ste B
San Francisco, CA 94127-1428 - Phone
- (415) 285-3895
- Fax
- (410) 392-8622
- NPI assigned
- Dec 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G79847 | CA | Primary |
Addresses
Primary practice location
380 W Portal Ave
Ste B
San Francisco, CA 94127-1428
Mailing address
380 W Portal Ave Ste B
San Francisco, CA 94127-1428
Phone (415) 285-3895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G798470 | Other | BLUE SHIELD | |
| 00G798470 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical College of Wisconsin, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
490 Post St
Suite 1440
San Francisco, CA 94102-1310
Phone (415) 392-4437
Merit-based Incentive Payment System (MIPS)
- Final score
- 99 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 221 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79847 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lillie Mosaddegh MD Inc | Ophthalmology | Current | Accepting new patients |
| Oasis Vision Institute, Inc. | Ophthalmology | Past | Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Seton Medical Center | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| Sutter Bay Medical Foundation | Past | Accepting new patients |
Locations
490 Post St
Ste 1440
San Francisco, CA 94102
Phone (415) 392-4437
380 West Portal Ave
Ste B
San Francisco, CA 94127
Phone (415) 392-4437
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- lmosaddegh@sfeyedoctors.intellechartdirect.net
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1326248923
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1235290800
-
- General Acute Care Hospital
- Daly City, CA
- NPI 1679608640
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1487712071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 W PORTAL AVE STE B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271428",
"telephone_number": "415-285-3895",
"fax_number": "410-392-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 W PORTAL AVE",
"address_2": "STE B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271428",
"telephone_number": "415-285-3895",
"fax_number": "410-392-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSADDEGH",
"first_name": "LILLIE",
"middle_name": "AKRAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G79847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G798470",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G798470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.