EFRAT ROSENTHAL
NPI 1295901239
Pediatrics in San Francisco, CA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
1001 POTRERO AVE, SAN FRANCISCO, CA 94110(628) 206-8111 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Efrat Rosenthal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EFRAT ROSENTHAL (NPI 1295901239) is an individual pediatrics provider in San Francisco, California, licensed in California (A151660) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Bedford, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1295901239
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEFRAT ROSENTHAL
Location Address1001 POTRERO AVESan Francisco, CA 94110-3518
Mailing AddressPo Box 743749Los Angeles, CA 90074-3749 · (415) 514-3000 · Fax (415) 502-8175
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 30, 2008
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1295901239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A151660✔ Licensed in MA · 253096
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License A151660 (CA)
1001 POTRERO AVE, San Francisco, CA 94110

Secondary Practice Location 1

Location 1101 Page Street, St. Luke's HospitalNew Bedford, MA 02127 · Phone (508) 917-1515

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

Efrat Rosenthal 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.

PECOS PAC ID2264682483
PECOS Enrollment IDI20171102002035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Efrat Rosenthal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group
Emergency Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 155 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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.

Registered Nurse
1001 POTRERO AVE, ZSFG BUILDING 90 4TH FLOOR
SAN FRANCISCO, CA 94110
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE, BLDG 10, 3RD FLOOR, WARD 13 BOX 1364
SAN FRANCISCO, CA 94110
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
Case Manager/Care Coordinator
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
Counselor
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
Nurse Practitioner (Family)
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
Clinical Medical Laboratory
1001 POTRERO AVE, BLDG 100, RM 104
SAN FRANCISCO, CA 94110
Internal Medicine
1001 POTRERO AVE, 1M
SAN FRANCISCO, CA 94110

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 Efrat Rosenthal's NPI number?

The NPI number for Efrat Rosenthal is 1295901239. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Efrat Rosenthal located?

Efrat Rosenthal practices at 1001 Potrero Ave, San Francisco, CA 94110. The listed phone number is (628) 206-8111.

What is Efrat Rosenthal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Efrat Rosenthal enrolled in Medicare?

Yes. Efrat Rosenthal 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 Efrat Rosenthal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Efrat Rosenthal reassigns Medicare benefits to 5 organizations: University Of California Sfgh Medical Group (San Francisco, CA), San Francisco Emergency Medical Associates (San Francisco, CA), Ucsf Pediatrics Associates (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 Efrat Rosenthal'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 Efrat Rosenthal was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.