Active NPI
Michelle Mulder, MD
- Surgical Oncology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- A176951
- Practice address
- 1600 Divisadero St FL 4
San Francisco, CA 94143-3010 - Phone
- (415) 353-7687
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 176951 | CA | |
| Surgical Oncology Physician | 2086X0206X | A176951 | CA | Primary |
Addresses
Primary practice location
1600 Divisadero St FL 4
San Francisco, CA 94143-3010
Mailing address
1600 Divisadero St FL 4
San Francisco, CA 94143-3010
Phone (415) 353-7687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131
3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020
400 Parnassus Ave
San Francisco, CA 94143-2202
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
987400 Nebraska Medical Ctr
Unmc Physicians Nebraska Medical Center
Omaha, NE 68198-7400
Phone (402) 559-4000
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176951 | CA | MD | Surgery Physician |
| A176951 | CA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Nebraska Medical Center | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| UCSF Medical Center at Mt. Zion | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1600 Divisadero St
Fl 4
San Francisco, CA 94143
Phone (415) 353-7100
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Interoperability endpoints
- mmulder244181@direct-ucsfmedicalcenter.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Rheumatology Physician
- San Francisco, CA
- NPI 1881763597
-
- Critical Access Hospital
- San Francisco, CA
- NPI 1952515975
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1386712925
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
-
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1851787675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 DIVISADERO ST FL 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941433010",
"telephone_number": "415-353-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DIVISADERO ST FL 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941433010",
"telephone_number": "415-353-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDER",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "176951",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "A176951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.