Individual provider Active NPI

Susan A, Bailey, M.D.

  • Vascular Surgery Physician
  • San Francisco, CA
National Provider Identifier
1487742425
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G29612 Issued in CA
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

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G296120MedicaidCA

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
I20050928000792 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7618902693 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General 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 Home health agency, San Francisco, CA, CCN 057003
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • UCSF Health Saint Francis Hospital Hospital, San Francisco, CA, CCN 050152
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)11
Removal of tissue268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G29612CAMDVascular Surgery Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.