NPIMap

Individual provider Active NPI

Steven A. Harrison, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Walnut Creek, CA
National Provider Identifier
1821023755
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G63736 Issued in CA
Practice address
1299 Newell Hill PL
Suite 103
Walnut Creek, CA 94596-5292
Phone
(925) 947-0505
Fax
(925) 947-1515
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G63736 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X G63736 CA Primary

Addresses

Primary practice location

1299 Newell Hill PL
Suite 103
Walnut Creek, CA 94596-5292

Mailing address

PO Box 1527
Orinda, CA 94563-0682
Phone (925) 947-0505

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ28801ZOtherCAMEDICARE GROUP #
00G637360MedicaidCA

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
I20040526001577 CA Practitioner - OphthalmologyPractitioner - Other (Physician) 9638160971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Harrison MD a Professional CorporationGroup PAC ID 3476544719, 2 clinicians

Practice addresses (Care Compare)

1299 Newell Hill PL
Suite 103
Walnut Creek, CA 94596-5230
Phone (925) 947-0505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63736CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Harrison MD a Professional Corporation Ophthalmology CurrentSince May 24, 2004 Accepting new patients
John Muir Health Past Accepting new patients
Long Island Vitreo Retinal Consultants Ophthalmology Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology Past Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology Past Accepting new patients

Locations

1299 Newell Hill Pl
Ste 103
Walnut Creek, CA 94596
Phone (925) 388-6046

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sharrison@newellhilleye.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1821023755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1527",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945630682",
            "telephone_number": "925-947-0505",
            "fax_number": "925-947-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 NEWELL HILL PL",
            "address_2": "SUITE 103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965292",
            "telephone_number": "925-947-0505",
            "fax_number": "925-947-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "STEVEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G63736",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G63736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "ZZZ28801Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G637360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.