Individual provider Active NPI

Leonardo M Dacanay, M.D.

  • Ophthalmology Physician
  • Berkeley, CA
National Provider Identifier
1679509269
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87857 Issued in CA
Practice address
1936 University Ave Ste 112
Berkeley, CA 94704
Phone
(510) 488-6767
Fax
(510) 488-6766
NPI assigned
Jun 24, 2006
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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 A87857 CA Primary

Addresses

Primary practice location

1936 University Ave Ste 112
Berkeley, CA 94704

Mailing address

1936 University Ave Ste 112
Berkeley, CA 94704-1003
Phone (510) 488-6767

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@BellevueEyeMedicalCenterBerkeleyCA.CompulinkDirect.com

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
I20120123000828 CA Practitioner - Ophthalmology 2567467459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Eye Medical Center IncGroup PAC ID 0840547477, 2 clinicians

Practice addresses (Care Compare)

1936 University Ave
Suite 112
Berkeley, CA 94704-1003
Phone (510) 488-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87857CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: direct@bellevueeyemedicalcenterberkeleyca.compulinkdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1679509269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 UNIVERSITY AVE STE 112",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041003",
            "telephone_number": "510-488-6767",
            "fax_number": "510-488-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 UNIVERSITY AVE STE 112",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-488-6767",
            "fax_number": "510-488-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACANAY",
        "first_name": "LEONARDO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@BellevueEyeMedicalCenterBerkeleyCA.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "address_1": "1936 University Ave Ste 112",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.