Individual provider Active NPI

Lillie Akram Mosaddegh, MD

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1487712071
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G79847 Issued in CA
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

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G798470OtherBLUE SHIELD
00G798470MedicaidCA

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
I20040625000241 CA Practitioner - Ophthalmology 2668458225 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

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 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79847CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lillie Mosaddegh MD Inc Ophthalmology CurrentSince Jan 25, 2011 Accepting new patients
Oasis Vision Institute, Inc. Ophthalmology PastSince Oct 1, 2005 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 PastSince Jan 25, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.