Individual provider Active NPI

Sean Kevin Maroney, M.D.

  • Surgery Physician
  • Larkspur, CA
National Provider Identifier
1487881983
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A135520 Issued in CA
Practice address
5 Bon Air Rd Ste 101
Larkspur, CA 94939-1134
Phone
(415) 924-2515
Fax
(415) 924-2661
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 282539 MA
Colon & Rectal Surgery Physician 208C00000X 282539 MA
Colon & Rectal Surgery Physician 208C00000X A135520 CA
Surgery Physician 208600000X A135520 CA Primary

Addresses

Primary practice location

5 Bon Air Rd Ste 101
Larkspur, CA 94939-1134

Mailing address

5 Bon Air Rd Ste 101
Larkspur, CA 94939-1134
Phone (415) 924-2515

Other practice location 1

123 Summer St Ste 210
Worcester, MA 01608-1216
Phone (508) 368-3190

Other identifiers 1

IdentifierTypeStateIssuer
110163034AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200813000365 MA Practitioner - General Surgery 5193141786
I20240125003270 CA Practitioner - General Surgery 5193141786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135520CAMDSurgery Physician
282539MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Surgery CurrentSince Jan 12, 2024 Accepting new patients
Umass Memorial Medical Group Inc Surgery PastSince Dec 1, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc Past Accepting new patients

Locations

5 Bon Air Rd
Ste 101
Larkspur, CA 94939
Phone (415) 924-1214

75 Rowland Way
Ste 230
Novato, CA 94945
Phone (415) 683-2988

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: sean.maroney.npi1487881983.reliant@direct.optumcare.masshiway.net
  • Direct secure messaging: smaroney332657@direct-ucsfmedicalcenter.org

Organizations & group practices 5

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 3

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1487881983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 101",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391134",
            "telephone_number": "415-924-2515",
            "fax_number": "415-924-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 101",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391134",
            "telephone_number": "415-924-2515",
            "fax_number": "415-924-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-368-3190",
            "fax_number": "508-368-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARONEY",
        "first_name": "SEAN",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "282539",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MA",
            "license": "282539",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A135520",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A135520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110163034A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.