CARLI RENSKE REISDORF MD
NPI 1013412717
Emergency Medicine in San Francisco, CA
About Carli Renske Reisdorf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLI RENSKE REISDORF MD (NPI 1013412717) is an individual emergency medicine provider in San Francisco, California, licensed in California (A166617) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Francisco School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carli Renske Reisdorf Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Carli Reisdorf reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 155 clinicians in this Medicare group
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- 842 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carli Reisdorf's NPI number?
The NPI number for Carli Reisdorf is 1013412717. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Carli Renske Haasbroek.
Where is Carli Reisdorf located?
Carli Reisdorf practices at 1101 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-6000.
What is Carli Reisdorf's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Carli Reisdorf enrolled in Medicare?
Yes. Carli Reisdorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carli Reisdorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carli Reisdorf reassigns Medicare benefits to 5 organizations: San Francisco Emergency Medical Associates (San Francisco, CA), Cep America - California (San Francisco, CA), University Of California Sfgh Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carli Reisdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carli Reisdorf was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carli Renske Reisdorf, MD · NPI 1013412717
Emergency Medicine physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1013412717 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A166617 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 VAN NESS AVE, San Francisco, CA 94109-6919
- **Phone:** (415) 600-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): San Francisco Emergency Medical Associates (NPI 1134110661, San Francisco, CA); Cep America - California (NPI 1396790812, San Francisco, CA); University Of California Sfgh Medical Group (NPI 1174598296, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013412717) · Data from the CMS NPPES public registry.