Individual provider Active NPI

Richard F. Grossman, MD

  • Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1548348642
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G70330 Issued in CA
Practice address
1199 Bush St
Suite 390
San Francisco, CA 94109-5999
Phone
(415) 800-8371
Fax
(415) 655-9219
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G70330 CA Primary

Addresses

Primary practice location

1199 Bush St
Suite 390
San Francisco, CA 94109-5999

Mailing address

1199 Bush St
Suite 390
San Francisco, CA 94109-5999
Phone (415) 800-8371

Other identifiers 1

IdentifierTypeStateIssuer
00G703300MedicaidCA

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
I20110504000610 CA Practitioner - Plastic and Reconstructive Surgery 5799960811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1199 Bush St
Suite 390
San Francisco, CA 94109-5973
Phone (415) 800-8371

Hospital & facility affiliations

  • UCSF Health Saint Francis Hospital Hospital, San Francisco, CA, CCN 050152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70330CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard F. Grossman, M.D., Inc. Plastic Surgery CurrentSince Jul 27, 2010 Accepting new patients

Locations

1199 Bush St
Ste 390
San Francisco, CA 94109
Phone (415) 800-8371

Organizations & group practices 1

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 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1548348642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST",
            "address_2": "SUITE 390",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095999",
            "telephone_number": "415-800-8371",
            "fax_number": "415-655-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST",
            "address_2": "SUITE 390",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095999",
            "telephone_number": "415-800-8371",
            "fax_number": "415-655-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "RICHARD",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G70330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G703300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.