NPIMap

Individual provider Active NPI

Lauren Eillen Macaraeg, M.D.

  • Internal Medicine Physician
  • Daly City, CA
National Provider Identifier
1730612532
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A164350 Issued in CA
Practice address
1498 Southgate Ave # 102
Daly City, CA 94015-4015
Phone
(650) 755-4490
NPI assigned
Apr 7, 2017
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A164350 CA Primary
Nephrology Physician 207RN0300X A164350 CA

Addresses

Primary practice location

1498 Southgate Ave # 102
Daly City, CA 94015-4015

Mailing address

1498 Southgate Ave # 102
Daly City, CA 94015-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705001314 CA Practitioner - Internal Medicine 9335529643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast KidneyGroup PAC ID 1759700149, 56 clinicians

Practice addresses (Care Compare)

1498 Southgate Ave
Suite 102
Daly City, CA 94015-4015
Phone (650) 755-4490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.65 of 100Reported as individual
Quality
91.72
Promoting interoperability
92
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164350CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Bay Nephrology Associates Nephrology CurrentSince Aug 1, 2022 Accepting new patients
Diablo Nephrology Medical Group, Inc Past Accepting new patients
St. Mary's Medical Center Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Seton Medical Center Past Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC Past Accepting new patients

Locations

1860 El Camino Real
Ste 321
Burlingame, CA 94010
Phone (650) 552-8180

1498 Southgate Ave
#102
Daly City, CA 94015
Phone (650) 755-4490

2250 Hayes St
Ste 612
San Francisco, CA 94117
Phone (415) 268-3208

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11865/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.macaraeg.1@8243.direct.athenahealth.com
  • Direct secure messaging: lmacaraeg631405@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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 11

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1730612532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE # 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE # 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015",
            "telephone_number": "650-755-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARAEG",
        "first_name": "LAUREN",
        "middle_name": "EILLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A164350",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A164350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.