Haseeb Ibrahim Al-Mufti, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A37195 Issued in CA

Practice address

13939 E 14TH St
Suite 170
San Leandro, CA 94578-2613

Phone

(510) 604-6012

Fax

(415) 974-0670

NPI assigned

May 18, 2006

Last updated

Sep 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• SHC San Leandro Dialysis facility, San Leandro, CA, CCN 552629
• Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: haseeb.al-mufti.1@1776.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1776/brand/1/csg/1/fhir/r4

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.

• Haseeb Al-Mufti, M.D., Inc.

  dba Renal Associates, Inc

  • Specialist
  • San Leandro, CA
  • NPI 1851547061
  Medicare reassignment NPD Authorized official
• Renal Associates

  • Specialist
  • San Francisco, CA
  • NPI 1609030840
  Authorized official Same address or phone
• Alameda Health System

  dba Highland General Hospital

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1396764353
  NPD (past)
• Alta Bates Summit Medical Center

  dba Merritt Peralta Insititute

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1043358542
  NPD (past)
• Eden Medical Center/San Leandro Hospital Campus

  dba San Leandro Hospital

  • Rehabilitation Hospital Unit
  • San Leandro, CA
  • NPI 1679523633
  NPD (past)
• Sutter Bay Hospitals

  dba Alta Bates Summit Medical Center - Summit Campus

  • Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1194171371
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Satellite Dialysis of San Leandro LLC

  dba Satellite Dialysis of San Leandro

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Leandro, CA
  • NPI 1386885671

  Dialysis facility

  Care Compare affiliation Name & address match
• Sutter Bay Hospitals

  dba Eden Medical Center

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1063812907
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1649223017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 4TH ST",
            "address_2": "UNIT 349",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071618",
            "telephone_number": "510-604-6012",
            "fax_number": "415-974-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST",
            "address_2": "SUITE 170",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782613",
            "telephone_number": "510-604-6012",
            "fax_number": "415-974-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-MUFTI",
        "first_name": "HASEEB",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A37195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A37195",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ak Surgery Center, LLC
• Tolulope Akande
• Yukako Akera, O.D.
• CJ Akselrad
• Hamoudi Al-Bander, M.D.
• Hope Danielle Al-Sharif
• Alameda County (Eden Outpatient)
• Alameda County
• Alameda County (Reach Ashland Youth Center)
• Alameda County (Guidance Clinic)

• Nephrology Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.

Verify at the official NPI Registry.