Individual provider Active NPI

Stephanie Rennke, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1770520884
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A90616 Issued in CA
Practice address
1600 Divisadero St
San Francisco, CA 94115-3010
Phone
(415) 885-3724
Fax
(415) 885-3727
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A90616 CA Primary

Addresses

Primary practice location

1600 Divisadero St
San Francisco, CA 94115-3010

Mailing address

1635 Divisadero Street, Suite 625, Box 1821
San Francisco, CA 94143-0001

Other identifiers 1

IdentifierTypeStateIssuer
00A906160MedicaidCA

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
I20051208000487 CA Practitioner - Internal Medicine 4385615210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90616CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 5, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 5, 2005 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
University of California San Francisco Internal Medicine CurrentSince Jun 5, 2011 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Dec 5, 2005 Accepting new patients
Yale University Internal Medicine Past Accepting new patients
Northeast Medical Group, Inc. Internal Medicine Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients
Alliance Medical Group of Greater Waterbury PC Internal Medicine Past Accepting new patients

Locations

1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 353-7175

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

521 Parnassus Ave
Rm 104
San Francisco, CA 94143
Phone (415) 476-4044

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1600 Divisadero St
Rm C512
San Francisco, CA 94143

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1600 Divisadero St
Ste C512
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

533 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-7192

Interoperability endpoints

  • Direct secure messaging: srennke15993@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1770520884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO STREET, SUITE 625, BOX 1821",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-885-3724",
            "fax_number": "415-885-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNKE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A906160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.