Individual provider Active NPI

Charles T Lynch, MD

  • Nephrology Physician
  • San Francisco, CA
National Provider Identifier
1972684348
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A43429 Issued in CA
Practice address
2100 Webster St
Suite 320
San Francisco, CA 94115-2375
Phone
(415) 923-3456
Fax
(415) 923-3121
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A43429 CA Primary

Addresses

Primary practice location

2100 Webster St
Suite 320
San Francisco, CA 94115-2375

Mailing address

2100 Webster St
Suite 320
San Francisco, CA 94115-2377
Phone (415) 923-3456

Other identifiers 5

IdentifierTypeStateIssuer
200123OtherCABROWN & TOLAND VENDOR #
00A434290OtherCABLUE SHIELD PROV NUMBER
XXXXX 9619 941150000OtherTRICARE PROVIDER NUMBER
5735023MedicaidCA
00A434290MedicaidCA

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
I20110104000968 CA Practitioner - NephrologyPractitioner - Internal Medicine 7214126465 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Medical AssociatesGroup PAC ID 7214970631, 6 clinicians

Practice addresses (Care Compare)

2100 Webster St
Suite 320
San Francisco, CA 94115-2377
Phone (415) 923-3456

Hospital & facility affiliations

  • Mission District Dialysis facility, San Francisco, CA, CCN 552669
  • DaVita Westlake Daly City Dialysis Center Dialysis facility, Daly City, CA, CCN 552642
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
96.31 of 100Reported as group
Quality
80.79
Promoting interoperability
100
Improvement activities
40
Cost
73.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medical Associates Nephrology CurrentSince Jan 1, 2022 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Medical Center at Mt. Zion Past Accepting new patients

Locations

2100 Webster St
Ste 320
San Francisco, CA 94115
Phone (415) 923-3456

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clynch183014@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1972684348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152377",
            "telephone_number": "415-923-3456",
            "fax_number": "415-923-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152375",
            "telephone_number": "415-923-3456",
            "fax_number": "415-923-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A43429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BROWN & TOLAND VENDOR #",
            "identifier": "200123",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "00A434290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "XXXXX 9619 941150000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5735023",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.