Individual provider Active NPI

Kevin Michael Man, M.D.

  • Specialist
  • San Francisco, CA
National Provider Identifier
1841350832
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G66113 Issued in CA
Practice address
1 Shrader Street
Suite 500
San Francisco, CA 94117-1044
Phone
(415) 362-3336
Fax
(415) 362-7542
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X G66113 CA
Specialist 174400000X G66113 CA Primary
Gastroenterology Physician 207RG0100X G66113 CA

Addresses

Primary practice location

1 Shrader Street
Suite 500
San Francisco, CA 94117-1044

Mailing address

1 Shrader Street
Suite 500
San Francisco, CA 94117-1044
Phone (415) 362-3336

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
I20090128000388 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 9032216346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Medical College of Wisconsin, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1 Shrader St
Suite 500
San Francisco, CA 94117-1044
Phone (415) 362-3336

2235 Hayes St
FL 5
San Francisco, CA 94117-1012
Phone (415) 750-5500

2235 Hayes St
FL 5
San Francisco, CA 94117-1082

Hospital & facility affiliations

  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
62.77 of 100Reported as group
Quality
96.59
Improvement activities
0
Cost
73.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66113CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jan 1, 2008 Accepting new patients
San Francisco Digestive Disease Medical Group Inc a Prof Corp Gastroenterology CurrentSince Nov 11, 2007 Accepting new patients
UCSF Health Community Hospitals CurrentSince Jan 1, 2008 Accepting new patients

Locations

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

450 Sutter St
Rm 1203
San Francisco, CA 94108
Phone (415) 362-3336

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

1 Shrader St
Ste 500
San Francisco, CA 94117
Phone (415) 362-3336

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1841350832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER STREET",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171044",
            "telephone_number": "415-362-3336",
            "fax_number": "415-362-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER STREET",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171044",
            "telephone_number": "415-362-3336",
            "fax_number": "415-362-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "G66113",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G66113",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G66113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.