Individual provider Active NPI

Tiffany Cho Kenison, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1841684776
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A153883 Issued in CA
Practice address
1050 Wisconsin St
San Francisco, CA 94107-3328
Phone
(415) 648-3022
NPI assigned
Mar 28, 2015
Last updated
Jun 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A153883 CA Primary

Addresses

Primary practice location

1050 Wisconsin St
San Francisco, CA 94107-3328

Mailing address

1050 Wisconsin St
San Francisco, CA 94107-3328

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
I20220615002866 CA Practitioner - Internal Medicine 4880013770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1525 Silver Ave
San Francisco, CA 94134-1229
Phone (415) 657-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153883CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Mar 3, 2022 Accepting new patients
City and County of San Francisco CurrentSince Mar 3, 2022 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

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, 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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1841684776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WISCONSIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WISCONSIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073328",
            "telephone_number": "415-648-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENISON",
        "first_name": "TIFFANY",
        "middle_name": "CHO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A153883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.