DR. MARY KARIN CONNOLLY MD
NPI 1942265772
Dermatology in San Francisco, CA

Active since April 17, 2006PECOS Enrolled
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115(415) 353-7800(415) 353-9654 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Karin Connolly Md NPPES

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

DR. MARY KARIN CONNOLLY MD (NPI 1942265772) is an individual dermatology provider in San Francisco, California, licensed in California (G57864) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942265772
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARY KARIN CONNOLLYCredential: MD
Location Address1701 DIVISADERO STSan Francisco, CA 94115-3011
Mailing Address1635 Divisadero Street, Suite 625, Box 1821San Francisco, CA 94143-0001 · (415) 476-4029 · Fax (415) 476-4150
Fax(415) 353-9654
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 28, 2012
NPI 1942265772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G57864
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License G57864 (CA)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License G57864 (CA)
1701 DIVISADERO ST, San Francisco, CA 94115

Other Identifiers 3

Medicaid0G5786400CA
Medicare UPINF01646CA
Medicare PIN0G5786400CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mary Karin Connolly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 20

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

Internal Medicine
1701 DIVISADERO ST
SAN FRANCISCO, CA 94115
Student in an Organized Health Care Education/Training Program
1701 DIVISADERO ST
SAN FRANCISCO, CA 94115
Dermatology
1701 DIVISADERO ST
SAN FRANCISCO, CA 94115
Dermatology
1701 DIVISADERO ST, THIRD FLOOR
SAN FRANCISCO, CA 94115
Dermatology
1701 DIVISADERO ST
SAN FRANCISCO, CA 94115
Internal Medicine
1701 DIVISADERO ST
SAN FRANCISCO, CA 94115
Dermatology
1701 DIVISADERO ST, ROOM 340
SAN FRANCISCO, CA 94115
Dermatology
1701 DIVISADERO ST
SAN FRANCISCO, CA 94115

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 Mary Connolly's NPI number?

The NPI number for Mary Connolly is 1942265772. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Mary Connolly located?

Mary Connolly practices at 1701 Divisadero St, San Francisco, CA 94115. The listed phone number is (415) 353-7800.

What is Mary Connolly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mary Connolly enrolled in Medicare?

Yes. Mary Connolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Connolly was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.