DOUGLAS SEVERANCE M.D. NPI 1639289838

NPI Information

  • NPI: 1639289838
  • Provider Name: DOUGLAS SEVERANCE, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0922388
  • Address: 5601 NORRIS CANYON RD
    330
    SAN RAMON, CA
    ZIP 94583
  • Phone: (925) 275-0400

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NPI Details

Douglas Severance, M.D. is a family medicine in San Ramon, CA with 49 years of experience. The provider is 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. Douglas Severance, M.D. NPI is 1639289838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

5601 NORRIS CANYON RD
330
SAN RAMON, CA
ZIP 94583-407
Phone: (925) 275-0400

The NPI 1639289838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0922388 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve (HCPCS:G0513)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of impacted ear wax (HCPCS:69210)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes (HCPCS:99421)
  • Prostate cancer screening; digital rectal examination (HCPCS:G0102)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes (HCPCS:99422)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG35610CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A46416MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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