Individual provider Active NPI

Nicholas Fidelman, M.D.

  • Vascular & Interventional Radiology Physician
  • San Francisco, CA
National Provider Identifier
1548387764
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A84789 Issued in CA
Practice address
505 Parnassus Avenue, Box 0628
UCSF Department of Radiology
San Francisco, CA 94143
Phone
(415) 353-1000
Fax
(415) 476-0616
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A84789 CA
Vascular & Interventional Radiology Physician 2085R0204X A84789 CA Primary

Addresses

Primary practice location

505 Parnassus Avenue, Box 0628
UCSF Department of Radiology
San Francisco, CA 94143

Mailing address

505 Parnassus Avenue, Box 0628
UCSF Department of Radiology
San Francisco, CA 94143
Phone (415) 353-1000

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
I20080616000326 CA Practitioner - Interventional Radiology 2365513546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of California, San Francisco School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

185 Berry St
San Francisco, CA 94107-5705
Phone (415) 476-1000

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
86.44 of 100Reported as individual
Quality
95
Improvement activities
0
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84789CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Diagnostic Radiology CurrentSince Jun 15, 2008 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 11, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 17, 2010 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 11, 2022 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Aug 17, 2010 Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2008 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

505 Parnassus Ave
#628
San Francisco, CA 94143
Phone (415) 476-2586

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

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

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

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

Interoperability endpoints

  • Direct secure messaging: nfidelman15319@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1548387764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVENUE, BOX 0628",
            "address_2": "UCSF DEPARTMENT OF RADIOLOGY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-353-1000",
            "fax_number": "415-476-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVENUE, BOX 0628",
            "address_2": "UCSF DEPARTMENT OF RADIOLOGY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-353-1000",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDELMAN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A84789",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A84789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.