Individual provider Active NPI

Elijah Verheyen

  • Gastroenterology Physician
  • Corte Madera, CA
National Provider Identifier
1780047332
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A177770 Issued in CA
Practice address
200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196
Phone
(415) 925-6900
Fax
(415) 925-6919
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A177770 CA Primary

Addresses

Primary practice location

200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196

Mailing address

200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196
Phone (415) 925-6900

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
I20220719000842 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0749526218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy168
Upper gastrointestinal (GI) endoscopy for acid reflux156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177770CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jun 30, 2022 Accepting new patients

Locations

200 Tamal Plz
Ste 200
Corte Madera, CA 94925
Phone (415) 925-6900

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

7120 Redwood Blvd
Novato, CA 94945
Phone (415) 925-6900

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

Interoperability endpoints

  • Direct secure messaging: everheyen628939@hisp.ehr.sutterhealth.org
  • Direct secure messaging: everheyen243426@direct-ucsfmedicalcenter.org

Organizations & group practices 1

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1780047332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251196",
            "telephone_number": "415-925-6900",
            "fax_number": "415-925-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251196",
            "telephone_number": "415-925-6900",
            "fax_number": "415-925-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHEYEN",
        "first_name": "ELIJAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A177770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.