Individual provider Active NPI

Kathryn Sullivan

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1972966083
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A154680 Issued in CA
Practice address
505 Parnassus Ave RM M1097
San Francisco, CA 94143-2204
Phone
(415) 476-0735
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A154680 CA Primary

Addresses

Primary practice location

505 Parnassus Ave RM M1097
San Francisco, CA 94143-2204

Mailing address

1240 42ND Ave
San Francisco, CA 94122-1209
Phone (847) 323-7985

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
I20190905001767 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7012246721 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154680CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 21, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jun 30, 2023 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Jun 21, 2023 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
Fl 10
San Francisco, CA 94143
Phone (415) 476-5897

505 Parnassus Ave
#M987
San Francisco, CA 94143
Phone (415) 443-0699

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

505 Parnassus Ave
#M1097
San Francisco, CA 94143

505 Parnassus Ave
Rm M1097
San Francisco, CA 94143
Phone (415) 476-0735

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
Fl 10RMM1097
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
Rm 987
San Francisco, CA 94143
Phone (415) 476-1528

Interoperability endpoints

  • Direct secure messaging: ksullivan79704@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.

Hospital & facility affiliations 1

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1972966083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 42ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221209",
            "telephone_number": "847-323-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE RM M1097",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A154680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.