Active NPI
Mary Jane Connell, MD
- Emergency Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A35005
- Practice address
- 2333 Buchanan St
San Francisco, CA 94115-1925 - Phone
- (209) 342-2300
- Fax
- (209) 524-4240
- NPI assigned
- Nov 3, 2005
- Last updated
- Aug 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A35005 | CA | Primary |
Addresses
Primary practice location
2333 Buchanan St
San Francisco, CA 94115-1925
Mailing address
4301 Northstar Way
Modesto, CA 95356-9262
Phone (209) 342-2300
Other practice location 1
2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients | |
| San Francisco Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| UCSF Health Medical Foundation | Past | Accepting new patients |
Locations
5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
175 E 96th St
New York, NY 10128
Phone (212) 426-1970
2689 Broadway
New York, NY 10025
Phone (212) 832-2756
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
Interoperability endpoints
- mary.connel.1@25843.direct.athenahealth.com
- mary.connell@guc.eclinicaldirectplus.com
- mconnell370797@direct-ucsfmedicalcenter.org
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
dba UCSF Health Hyde Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1881685311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 NORTHSTAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-342-2300",
"fax_number": "209-524-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 BUCHANAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151925",
"telephone_number": "209-342-2300",
"fax_number": "209-524-4240"
}
],
"practiceLocations": [
{
"address_1": "2395 Lombard St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941232601",
"country_code": "US",
"telephone_number": "415-796-2242",
"fax_number": "415-796-3841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNELL",
"first_name": "MARY JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A35005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jacob Connell, MD
- Catherine Anne Connelly, RN
- Sarah Connelly, PSY..
- Stephen Thaddeus Connelly, M.D.,D.D.S.
- Leslie E Conner, ARNP, RN, LMP, IFMCP
- Morgan Bassett Conner, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.