Individual provider Active NPI

Kellie R Satterfield, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1629509336
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A187209 Issued in CA
Practice address
3399 1St Ave
San Diego, CA 92103-5601
Phone
(858) 284-0608
Fax
(858) 201-7098
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 A187209 CA Primary

Addresses

Primary practice location

3399 1St Ave
San Diego, CA 92103-5601

Mailing address

3911 Cleveland Ave # 635175
San Diego, CA 92103-3402
Phone (858) 284-0608

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
I20230719003162 CA Practitioner - Ophthalmology 0244586121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3399 1St Ave
San Diego, CA 92103-5601
Phone (858) 284-0608

4130 La Jolla Village Dr
Suite 300
La Jolla, CA 92037-1481
Phone (858) 455-6800

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
94.56
Improvement activities
40
Cost
72.21

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187209CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Schanzlin New Vision Institute, Inc. a Professional Medical Cor Ophthalmology CurrentSince Oct 28, 2024 Accepting new patients
San Diego Eye and Face CurrentSince Sep 14, 2023 Accepting new patients
Richmond E Roeske a Professional Corp Ophthalmology Past Accepting new patients
Beaver Medical Group P C Past Accepting new patients

Locations

4130 La Jolla Village Dr
Ste 300
La Jolla, CA 92037
Phone (858) 455-6800

3911 Cleveland Ave
#635175
San Diego, CA 92103

3399 1st Ave
San Diego, CA 92103
Phone (619) 297-4433

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ksatterfield@pacificeyelaser.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1629509336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 CLEVELAND AVE # 635175",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033402",
            "telephone_number": "858-284-0608",
            "fax_number": "858-201-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035601",
            "telephone_number": "858-284-0608",
            "fax_number": "858-201-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "KELLIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A187209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.