Individual provider Active NPI

Nicholas W Stine, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1528296787
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
148040 Issued in CA
Practice address
24 Willie Mays PLZ
San Francisco, CA 94107-2134
Phone
(415) 947-3096
Fax
(415) 292-3755
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 148040 CA Primary
Internal Medicine Physician 207R00000X 265091 NY

Addresses

Primary practice location

24 Willie Mays PLZ
San Francisco, CA 94107-2134

Mailing address

185 Berry St Ste 300
San Francisco, CA 94107-1773
Phone (415) 438-5579

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
I20190131002992 CA Practitioner - Internal Medicine 3072736008 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148040CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 1, 2019 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

1411 E 31st St
#1
Oakland, CA 94602
Phone (510) 437-4241

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

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

185 Berry St
Ste 300
San Francisco, CA 94107
Phone (415) 438-5500

1199 Bush St
Ste 400
San Francisco, CA 94109
Phone (415) 379-2980

24 Willie Mays Plz
San Francisco, CA 94107
Phone (415) 947-3096

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 9

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1528296787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BERRY ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071773",
            "telephone_number": "415-438-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WILLIE MAYS PLZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072134",
            "telephone_number": "415-947-3096",
            "fax_number": "415-292-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "NICHOLAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "148040",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.