Active NPI
Susan A, Bailey, M.D.
- Vascular Surgery Physician
- San Francisco, CA
National Provider Identifier
1487742425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G29612
- Practice address
- 1580 Valencia St Ste 201
San Francisco, CA 94110-4420 - Phone
- (415) 550-4711
- Fax
- (415) 282-6703
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | G29612 | CA | Primary |
Addresses
Primary practice location
1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Mailing address
1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Phone (415) 550-4711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G296120 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050928000792 | CA | Practitioner - Vascular Surgery | 7618902693 | Practice locations: San Francisco, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Southern California Keck School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1580 Valencia St
Suite 201
San Francisco, CA 94110-4420
Phone (415) 550-4711
Hospital & facility affiliations
- Sutter Care at Home
- California Pacific Medical Center - Mission Bernal
- UCSF Health St. Mary'S Hospital
- UCSF Health Saint Francis Hospital
- California Pacific Medical Ctr-Davies Campus Hosp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 1-10 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
| Removal of tissue | 268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29612 | CA | MD | Vascular Surgery Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Health, Inc. | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sbailey183863@hisp.ehr.sutterhealth.org
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.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Francisco, CA
- NPI 1437188208
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
Hospital
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1487742425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 VALENCIA ST STE 201",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104420",
"telephone_number": "415-550-4711",
"fax_number": "415-282-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 VALENCIA ST STE 201",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104420",
"telephone_number": "415-550-4711",
"fax_number": "415-282-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "SUSAN",
"middle_name": "A,",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G29612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G296120",
"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 3, 2018; 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.