Individual provider Active NPI

Mohammed Rami Bailony, M.D.

  • Internal Medicine Physician
  • San Mateo, CA
National Provider Identifier
1801114111
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A120308 Issued in CA
Practice address
3050 S Delaware St Ste 130
San Mateo, CA 94403-2394
Phone
(650) 319-8654
NPI assigned
May 11, 2010
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 A120308 CA Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X A120308 CA

Addresses

Primary practice location

3050 S Delaware St Ste 130
San Mateo, CA 94403-2394

Mailing address

3050 S Delaware St Ste 130
San Mateo, CA 94403-2394
Phone (650) 319-8654

Other practice location 1

1650 S Amphlett Blvd
Suite 115
San Mateo, CA 94402-2517
Phone (650) 319-8654

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
I20131021001032 CA Practitioner - Internal MedicinePractitioner - Other (Physician) 4880829225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enara Health Group PCGroup PAC ID 0840514733, 2 clinicians
Hassan Kafri MD IncGroup PAC ID 7618023805, 8 clinicians

Practice addresses (Care Compare)

3050 S Delaware St
Suite 130
San Mateo, CA 94403-2394
Phone (650) 319-8654

328 Highland Ave
Suite 200
El Cajon, CA 92020-5207
Phone (619) 930-9404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120308CAMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Internal Medicine CurrentSince Aug 21, 2013 Accepting new patients
Enara Health, Inc CurrentSince Sep 1, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 21, 2013 Accepting new patients
Hassan Kafri MD, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Locations

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1650 S Amphlett Blvd
Ste 115
San Mateo, CA 94402
Phone (650) 319-8654

3050 S Delaware St
Ste 130
San Mateo, CA 94403
Phone (650) 319-8654

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1801114111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S DELAWARE ST STE 130",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032394",
            "telephone_number": "650-319-8654",
            "fax_number": "650-251-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S DELAWARE ST STE 130",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032394",
            "telephone_number": "650-319-8654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S Amphlett Blvd",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944022517",
            "country_code": "US",
            "telephone_number": "650-319-8654",
            "fax_number": "650-251-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILONY",
        "first_name": "MOHAMMED",
        "middle_name": "RAMI",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A120308",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A120308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.