DR. SUSAN LEE IVEY MD NPI 1003004169

Family Medicine in Berkeley, CA

Individual Female Family Medicine

About SUSAN IVEY

Susan Ivey is a primary care provider established in Berkeley, California and her medical specialization is family medicine. The NPI number of Susan Ivey is 1003004169 and was assigned on October 2007. The practitioner's primary taxonomy code is 207Q00000X with license number C43335 (CA). The provider is registered as an individual and her NPI record was last updated 13 years ago.

A primary care provider (PCP) like Dr. Susan Lee Ivey Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Susan Ivey is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003004169

Provider NameDR. SUSAN LEE IVEY MD
Provider Location Address2140 SHATTUCK AVE 10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH BERKELEY, CA 94704
Provider Mailing Address131 EMERALD DR DANVILLE, CA 94526
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-12-2007
Last Update Date10-12-2007

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.C43335
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. SUSAN LEE IVEY MD
2140 SHATTUCK AVE
10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
BERKELEY, CA
ZIP 94704
Phone: (510) 643-1883
Fax: (510) 643-7976

Get Directions

Mailing Address

DR. SUSAN LEE IVEY MD
131 EMERALD DR
DANVILLE, CA
ZIP 94526
Phone: (925) 362-8227
Fax: (925) 362-8228

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D87707MEDICARE UPIN (02)CA

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235113077MS. KAREN M ROSE MFT
Individual
Marriage & Family Therapist2140 SHATTUCK AVE SUITE 503
BERKELEY, CA 94704
(510) 486-1188
1265816235BERKELEY HEALTH ACUPUNCTURE
Organization
Acupuncturist2140 SHATTUCK AVE STE 510
BERKELEY, CA 94704
(415) 988-1619
1346335627DR. GEORGE MARTIN OLDENBOURG JR. D.D.S.
Individual
Dentist (General Practice)2140 SHATTUCK AVE STE 701
BERKELEY, CA 94704
(510) 843-1192
1609114669DR. SIMARJIT SINGH D.D.S.
Individual
Dentist2140 SHATTUCK AVE
BERKELEY, CA 94704
(510) 843-1192
1881880557MR. JAY ELI WILLIAMS ASW 27280
Individual
Social Worker (Clinical)2140 SHATTUCK AVE SUITE 711
BERKELEY, CA 94704
(510) 841-1100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.