Individual provider Active NPI

Mary Ann Banez, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1558323360
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G842181 Issued in CA
Practice address
2186 Geary Blvd Ste 312
San Francisco, CA 94115-3457
Phone
(415) 285-5180
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G842181 CA Primary

Addresses

Primary practice location

2186 Geary Blvd Ste 312
San Francisco, CA 94115-3457

Mailing address

2186 Geary Blvd Ste 312
San Francisco, CA 94115-3457
Phone (415) 285-5180

Other identifiers 2

IdentifierTypeStateIssuer
00G842181MedicaidCA
G842181OtherCASTATE LICENSE

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
I20040817001406 CA Practitioner - Ophthalmology 3375516362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2186 Geary Blvd
Suite 312
San Francisco, CA 94115-3457
Phone (415) 285-5180

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G842181CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Banez, M.D., Inc. Ophthalmology CurrentSince Jun 7, 2006 Accepting new patients

Locations

2186 Geary Blvd
Ste 312
San Francisco, CA 94115
Phone (415) 285-5180

Interoperability endpoints

  • Direct secure messaging: mbanez183095@hisp.ehr.sutterhealth.org

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1558323360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153457",
            "telephone_number": "415-285-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153457",
            "telephone_number": "415-285-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEZ",
        "first_name": "MARY ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G842181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G842181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G842181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.