NPIMap

Individual provider Active NPI

Genevieve Estilo, MD

  • Nephrology Physician
  • Greenbrae, CA
National Provider Identifier
1558560482
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A111797 Issued in CA
Practice address
1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023
Phone
(415) 925-3075
Fax
(415) 925-3070
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA08275400 NJ
Nephrology Physician 207RN0300X A111797 CA Primary

Addresses

Primary practice location

1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023

Mailing address

1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023
Phone (415) 925-3075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000124 CA Practitioner - Nephrology 1658359682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Icahn School of Medicine at Mount Sinai, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • SHC Larkspur Dialysis facility, Greenbrae, CA, CCN 052526
  • DaVita San Rafael Dialysis Dialysis facility, San Rafael, CA, CCN 552794
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111797CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Mar 2, 2023 Accepting new patients
Marin General Hospital Past Accepting new patients
James E Shepard Mark C Lambert & Lawrence a Levy PTRS Nephrology Past Accepting new patients
Yale New Haven Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients
Ahs Hospital Corp. Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Ynh Geriatric Services Past Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC Past Accepting new patients

Locations

1341 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 464-8169

1300 S Eliseo Dr
Ste 104
Greenbrae, CA 94904
Phone (415) 461-7955

1341 S Eliseo Dr
Ste 200
Greenbrae, CA 94904
Phone (415) 464-8169

75 Rowland Way
Ste 230
Novato, CA 94945
Phone (415) 683-2988

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

Interoperability endpoints

  • Direct secure messaging: gestilo194668@hisp.ehr.sutterhealth.org
  • Direct secure messaging: gestilo115163@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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 4

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1558560482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S ELISEO DR",
            "address_2": "SUITE 104",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042023",
            "telephone_number": "415-925-3075",
            "fax_number": "415-925-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S ELISEO DR",
            "address_2": "SUITE 104",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042023",
            "telephone_number": "415-925-3075",
            "fax_number": "415-925-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTILO",
        "first_name": "GENEVIEVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08275400",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A111797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.