Individual provider Active NPI

Nickisa M Hodgson, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1821431842
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A133980 Issued in CA
Practice address
1001 Potrero Ave. BLDG. 5, 4M
San Francisco, CA 94110
Phone
(628) 206-8304
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 301302 NY
Ophthalmology Physician 207W00000X A133980 CA Primary

Addresses

Primary practice location

1001 Potrero Ave. BLDG. 5, 4M
San Francisco, CA 94110

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749

Other practice location 1

26 Court St Ste 1710
Brooklyn, NY 11242-1117
Phone (718) 780-1530

Other practice location 2

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1714

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
I20240809003236 CA Practitioner - Ophthalmology 8123398609 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

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

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133980CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Jul 25, 2024 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jul 30, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jul 23, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
City & County of San Francisco CurrentSince Jul 23, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
University Anesthesia Medical Group CurrentSince Jan 9, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 25, 2024 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 30, 2024 Accepting new patients
Regents of the University of California CurrentSince Jul 25, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
University Physicians of Brooklyn, Inc PastSince Apr 1, 2023 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

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

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

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

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

Interoperability endpoints

  • Direct secure messaging: nhodgson372109@direct-ucsfmedicalcenter.org
  • Direct secure messaging: nickisahodgson@sunydmc.allscriptsdirect.net
  • Direct secure messaging: nhodgson@uoc.direct.eyemdemr.com
  • Direct secure messaging: nickisa.hodgson@sunydmc.direct.eyemdemr.com
  • Direct secure messaging: nhodgson1233230@nychhc.direct-ci.com

Organizations & group practices 15

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.

View all 15

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1821431842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE. BLDG. 5, 4M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "628-206-8304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 1710",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421117",
            "country_code": "US",
            "telephone_number": "718-780-1530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "NICKISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "301302",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A133980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.