Active NPI
Nicholas Fidelman, M.D.
- Vascular & Interventional Radiology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A84789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.44 of 100
- Quality
- 95
- Improvement activities
- 0
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84789 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| University of California San Francisco | Current | 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
- 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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Diagnostic Radiology
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.