Active NPI
Kellie R Satterfield, M.D.
- Ophthalmology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A187209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 94.56
- Improvement activities
- 40
- Cost
- 72.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 76.08
- Promoting interoperability
- 72
- Improvement activities
- 40
- Cost
- 75.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A187209 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Schanzlin New Vision Institute, Inc. a Professional Medical Cor | Ophthalmology | Current | Accepting new patients |
| San Diego Eye and Face | Current | 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
- 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.
-
dba Gordon Schanzlin New Vision Institute
- Optometrist
- San Diego, CA
- NPI 1134573678
Ophthalmology
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- San Diego, CA
- NPI 1669202198
-
dba Beaver Advantage Health Center
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- Ophthalmology Physician
- Temecula, CA
- NPI 1689776569
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.