Individual provider Active NPI

Dinah M Bukowski, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1639261530
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
393126 Issued in CA
Practice address
1375 Sutter St
San Francisco, CA 94109-5438
Phone
(415) 600-7618
Fax
(415) 600-7625
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 393126 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 393126 CA Primary

Addresses

Primary practice location

1375 Sutter St
San Francisco, CA 94109-5438

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-7618

Other practice location 1

67-1123 Mamalahoa Hwy
Ste 128
Kamuela, HI 96743-8451
Phone (808) 885-0342

Other identifiers 2

IdentifierTypeStateIssuer
393126OtherCAAMERICAN BOARD OF INTERNAL MEDICINE
C55517OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040226000629 HI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6406742378 Reassigns benefits to 2 organizations
I20150428001462 CA Practitioner - Emergency MedicinePractitioner - Pulmonary DiseasePractitioner - Hospitalist 6406742378 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
393126CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aretaeus Telemedicine Inc. Critical Care Medicine CurrentSince Nov 28, 2018 Accepting new patients
Prima Medical Foundation CurrentSince Feb 15, 2018 Accepting new patients
Quantum Healthcare Medical Associates Inc. CurrentSince Jun 1, 2010 Accepting new patients
Willow Brook Critical Care Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Marin Hospitalist Medical Group, Inc. CurrentSince May 6, 2017 Accepting new patients
Regents Univ of California UCSF Critical Care Medicine CurrentSince Nov 1, 2018 Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

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

1375 Sutter St
San Francisco, CA 94109
Phone (415) 600-7618

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

Interoperability endpoints

  • Direct secure messaging: dbukowski106526@direct-ucsfmedicalcenter.org
  • Direct secure messaging: dbukowski287018@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1639261530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-7618",
            "fax_number": "415-600-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095438",
            "telephone_number": "415-600-7618",
            "fax_number": "415-600-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67-1123 Mamalahoa Hwy",
            "address_2": "Ste 128",
            "address_purpose": "LOCATION",
            "city": "Kamuela",
            "state": "HI",
            "postal_code": "967438451",
            "country_code": "US",
            "telephone_number": "808-885-0342",
            "fax_number": "808-885-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKOWSKI",
        "first_name": "DINAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "393126",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "393126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF INTERNAL MEDICINE",
            "identifier": "393126",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C55517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.