Active NPI
Brett Michael Elicker, MD
- Diagnostic Radiology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A91048
- Practice address
- 1001 Potrero Ave
RM 1X55
San Francisco, CA 94110-3518 - Phone
- (415) 206-5871
- Fax
- (415) 206-4004
- NPI assigned
- May 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A91048 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave
RM 1X55
San Francisco, CA 94110-3518
Mailing address
PO Box 7464
San Francisco, CA 94120-7464
Phone (415) 206-3103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A910480 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000
400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000
Hospital & facility affiliations
- UCSF Medical Center
- UCSF Health St. Mary'S Hospital
- Enloe Health
- Providence Santa Rosa Memorial Hospital
- California Pacific Medical Center- Van Ness Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 81.13
- Improvement activities
- 40
- Cost
- 71.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91048 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
521 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9035
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1001 Potrero Ave
Rm 1X55
San Francisco, CA 94110
Phone (415) 206-5300
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Interoperability endpoints
- belicker15287@direct-ucsfmedicalcenter.org
Organizations & group practices 8
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.
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Diagnostic Radiology
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Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- San Francisco, CA
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-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1891748034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7464",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941207464",
"telephone_number": "415-206-3103",
"fax_number": "415-206-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "RM 1X55",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "415-206-5871",
"fax_number": "415-206-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELICKER",
"first_name": "BRETT",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A91048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A910480",
"state": "CA"
}
],
"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 Aug 13, 2012; 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.