Individual provider Active NPI

Benedict PM Ancock, M.D.

  • Cardiovascular Disease Physician
  • Larkspur, CA
National Provider Identifier
1578847844
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A118391 Issued in CA
Practice address
2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Phone
(415) 927-0666
Fax
(415) 927-6168
NPI assigned
Oct 5, 2011
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A118391 CA Primary

Addresses

Primary practice location

2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144

Mailing address

2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Phone (415) 927-0666

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
I20120417000264 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103087267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
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

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
A118391CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

2 Bon Air Rd
Ste 100
Larkspur, CA 94939

75 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 878-2910

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

558 3rd St W
Sonoma, CA 95476
Phone (707) 753-0725

Interoperability endpoints

  • Direct secure messaging: bancock84979@direct-ucsfmedicalcenter.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1578847844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391144",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391144",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCOCK",
        "first_name": "BENEDICT",
        "middle_name": "PM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A118391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.