KAREN WEINBAUM MD
NPI 1861842809
Family Medicine in San Francisco, CA

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
1171 MISSION ST, SAN FRANCISCO, CA 94103(628) 754-9616 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2020, Oct 1, 2019, Jun 13, 2019 and 1 more (4 updates tracked since 2016).

About Karen Weinbaum Md NPPES

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

KAREN WEINBAUM MD (NPI 1861842809) is an individual family medicine provider in San Francisco, California, licensed in California (A150760) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Martinez, and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1861842809
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN WEINBAUMCredential: MD
Location Address1171 MISSION STSan Francisco, CA 94103-1519
Mailing Address2500 Alhambra AveMartinez, CA 94553-3156 · (925) 370-5200
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 28, 20254 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1861842809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A150760
Definition
Family 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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A150760 (CA)
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License A150760 (CA)
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License A150760 (CA)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License A150760 (CA)
1171 MISSION ST, San Francisco, CA 94103

Secondary Practice Location 1

Location 12500 Alhambra AveMartinez, CA 94553-3156 · Phone (925) 370-5200

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

Karen Weinbaum 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.

PECOS PAC ID6709127749
PECOS Enrollment IDI20191007001420
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 Reassignment

Medicare enrollment records show Karen Weinbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
555 STEVENSON ST
San Francisco, CA 94103
  • Reassigned Medicare billing, California enrollment
  • 1,573 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 94103 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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1171 MISSION ST
SAN FRANCISCO, CA 94103
Nurse Practitioner (Primary Care)
1171 MISSION ST
SAN FRANCISCO, CA 94103
Counselor
1171 MISSION ST
SAN FRANCISCO, CA 94103
Marriage & Family Therapist
1171 MISSION ST
SAN FRANCISCO, CA 94103
Social Worker (Clinical)
1171 MISSION ST
SAN FRANCISCO, CA 94103
Clinical Nurse Specialist (Community Health/Public Health)
1171 MISSION ST, MEDICAL RESPITE PROGRAM
SAN FRANCISCO, CA 94103
Nurse Practitioner (Primary Care)
1171 MISSION ST
SAN FRANCISCO, CA 94103
Community Health Worker
1171 MISSION ST
SAN FRANCISCO, CA 94103

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 Karen Weinbaum's NPI number?

The NPI number for Karen Weinbaum is 1861842809. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Karen Weinbaum located?

Karen Weinbaum practices at 1171 Mission St, San Francisco, CA 94103. The listed phone number is (628) 754-9616.

What is Karen Weinbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Weinbaum enrolled in Medicare?

Yes. Karen Weinbaum 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 organization bills Medicare for Karen Weinbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Weinbaum reassigns Medicare benefits to City & County Of San Francisco (San Francisco, CA). The 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 Karen Weinbaum'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 Karen Weinbaum was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.