NPIMap

Individual provider Active NPI

Benjamin H Maeck III, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1487720454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71812 Issued in CA
Practice address
2250 Hayes Street
#205
San Francisco, CA 94117-1078
Phone
(415) 750-5730
Fax
(415) 750-4973
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A71812 CA Primary

Addresses

Primary practice location

2250 Hayes Street
#205
San Francisco, CA 94117-1078

Mailing address

2250 Hayes Street
#205
San Francisco, CA 94117-1078
Phone (415) 750-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302001095 CA Practitioner - Internal Medicine 3971556838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Vermont College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2250 Hayes St
Suite 205
San Francisco, CA 94117-1078
Phone (415) 571-8928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.4 of 100Reported as individual
Quality
31.67
Improvement activities
0
Cost
52.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71812CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Community Hospitals CurrentSince Jan 1, 2008 Accepting new patients
Dignity Health CurrentSince Jan 1, 2008 Accepting new patients
Benjamin H. Maeck, III, M.D. Inc. Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

2250 Hayes St
Ste 205
San Francisco, CA 94117
Phone (415) 518-7967

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

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.

Hospital & facility affiliations 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487720454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES STREET",
            "address_2": "#205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-750-5730",
            "fax_number": "415-750-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES STREET",
            "address_2": "#205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-750-5730",
            "fax_number": "415-750-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAECK",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.