Active NPI
Terry M Maher, MD
- Nephrology Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G39018
- Practice address
- 2905 Telegraph Ave
Berkeley, CA 94705-2063 - Phone
- (510) 841-4525
- Fax
- (510) 848-9970
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G39018 | CA | Primary |
Addresses
Primary practice location
2905 Telegraph Ave
Berkeley, CA 94705-2063
Mailing address
2905 Telegraph Ave
Berkeley, CA 94705-2063
Phone (510) 841-4525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G390180 | Medicaid | CA | |
| 110073234 | Other | CA | RAILROAD MEDICARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39018 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
| East Bay Nephrology Medical Group, Inc | Nephrology | Current | Accepting new patients |
| East Bay Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
Locations
2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411
10690 San Pablo Ave
El Cerrito, CA 94530
Phone (510) 528-9590
3043 Summit St
Oakland, CA 94609
Phone (510) 451-6840
14020 San Pablo Ave
Ste A
San Pablo, CA 94806
Phone (510) 235-1057
125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510
127 Hospital Dr
Ste 204
Vallejo, CA 94589
Phone (707) 642-7510
Interoperability endpoints
- tmaher37189@hisp.ehr.sutterhealth.org
- https://api.platform.athenahealth.com/6134/brand/1/csg/1/fhir/r4
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.
-
- Nephrology Physician
- Vallejo, CA
- NPI 1184719809
-
- Nephrology Physician
- Oakland, CA
- NPI 1265527980
-
- Nephrology Physician
- Berkeley, CA
- NPI 1871699074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1972600229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052063",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052063",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "TERRY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G39018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G390180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110073234",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.