Individual provider Active NPI

Elson M Haas, M.D.

  • Allergy & Immunology Physician
  • San Rafael, CA
National Provider Identifier
1740318112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G251970 Issued in CA
Practice address
25 Mitchell Blvd
Suite 8
San Rafael, CA 94903-2007
Phone
(415) 472-2343
Fax
(415) 472-7636
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G251970 CA Primary

Addresses

Primary practice location

25 Mitchell Blvd
Suite 8
San Rafael, CA 94903-2007

Mailing address

25 Mitchell Blvd
Suite 8
San Rafael, CA 94903-2007
Phone (415) 472-2343

Other identifiers 1

IdentifierTypeStateIssuer
G251970OtherCALICENSE

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
I20081201000549 CA Practitioner - General Practice 1153481080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Michigan Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4340 Redwood Hwy
Suite a 22
San Rafael, CA 94903-2121
Phone (415) 472-2343

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

Merit-based Incentive Payment System (MIPS)

Final score
25.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G251970CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Medical Center of Marin Inc CurrentSince Jan 1, 2008 Accepting new patients
Rasnow Integrative Wellness Inc PastSince Jan 1, 2008 Accepting new patients

Locations

25 Mitchell Blvd
Ste 8
San Rafael, CA 94903
Phone (415) 472-2343

4340 Redwood Hwy
Ste A22
San Rafael, CA 94903
Phone (415) 472-2343

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740318112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MITCHELL BLVD",
            "address_2": "SUITE 8",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032007",
            "telephone_number": "415-472-2343",
            "fax_number": "415-472-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MITCHELL BLVD",
            "address_2": "SUITE 8",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032007",
            "telephone_number": "415-472-2343",
            "fax_number": "415-472-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "ELSON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G251970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G251970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.