Individual provider Active NPI

Ian Bledsoe, MD

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1821228487
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A116577 Issued in CA
Practice address
1635 Divisadero St Ste 520
San Francisco, CA 94115-3044
Phone
(415) 353-2311
Fax
(415) 353-9060
NPI assigned
Jul 16, 2009
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1821228487 IL
Neurology Physician 2084N0400X A116577 CA Primary

Addresses

Primary practice location

1635 Divisadero St Ste 520
San Francisco, CA 94115-3044

Mailing address

1635 Divisadero St Ste 520
San Francisco, CA 94115-3044
Phone (415) 353-2311

Other practice location 1

200 Lothrop St
Suite N713
Pittsburgh, PA 15213-2536
Phone (412) 692-4700

Other names 1

  • Ian Bledsoe Professional name

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
I20160809001571 CA Practitioner - Neurology 1850690587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116577CAMDNeurology Physician
1821228487ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Neurology CurrentSince Jul 1, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2016 Accepting new patients
UCSF Medical Group Business Services Neurology CurrentSince Jul 1, 2016 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2016 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1635 Divisadero St
Ste 520
San Francisco, CA 94115
Phone (415) 353-2311

1651 4th St
Fl 2
San Francisco, CA 94158
Phone (415) 353-2069

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

3333 California St
Ste S110
San Francisco, CA 94118

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1821228487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153044",
            "telephone_number": "415-353-2311",
            "fax_number": "415-353-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153044",
            "telephone_number": "415-353-2311",
            "fax_number": "415-353-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop St",
            "address_2": "Suite N713",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "412-692-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "1821228487",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A116577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "BLEDSOE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.