Mary-Louise Janneke Ferris, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A70081 Issued in CA

Practice address

1720 El Camino Real
Suite 130
Burlingame, CA 94010-3224

Phone

(650) 259-5827

NPI assigned

Jan 25, 2007

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary-Louise Janneke Young Former name

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

Family Practice

Education

University of Michigan Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mferris45912@hisp.ehr.sutterhealth.org

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.

• Sutter Bay Medical Foundation

  dba Palo Alto Medial Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment Care Compare group NPD
• Sutter Bay Medical Foundation

  dba Palo Alto Medical Foundation

  • Clinical Medical Laboratory
  • Santa Clara, CA
  • NPI 1669287033
  NPD
• David C. Klonoff, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Foster City, CA
  • NPI 1174763866
  NPD (past)
• Enara Health Group, P.C.

  dba Enara Health Group

  • Obesity Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1063817823
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1700931904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "STE 165",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103200",
            "telephone_number": "650-259-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE 130",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-259-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "MARY-LOUISE",
        "middle_name": "JANNEKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY-LOUISE",
            "last_name": "YOUNG",
            "middle_name": "JANNEKE",
            "credential": "MARY YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Featherstone
• Connor Fenech
• Weina Feng, MSPT
• Della Fernandes, LICENSED MFT
• Adelardo Manuel Ferrer, M.D.
• Michelle Beth Ficcaglia, PHD BCBA
• Hanneke Finones, DDS
• Firefly Center: Therapy Services for Children
• Herbert Miles Fisher, M.D.
• Eric Flagg, M.D.

• Family Medicine Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.