Mason David Tippy, MD
NPI 1417576034ActiveIndividual· Radiology, Diagnostic Radiology· Novato, CA
Radiology, Diagnostic Radiology (MD) in Novato, California, trained at Southern Illinois University School of Medicine (class of 2020). Enrolled in Medicare as practitioner - diagnostic radiology.
Overview
| NPI | 1417576034 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 14, 2020 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | A200651 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA) |
|---|
Education and affiliations
| Medical school | Southern Illinois University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- University of California San FranciscoSan Francisco, CA · 1,839 clinicians
- UCSF Medical Group Business ServicesSan Francisco, CA · 1,598 clinicians
- California Advanced Imaging Medical Associates IncSan Francisco, CA · 88 clinicians
- Prima Medical FoundationGreenbrae, CA · 31 clinicians
Hospital affiliations
- Marinhealth Medical CenterGreenbrae, CA
- Novato Community HospitalNovato, CA
- Sonoma Valley HospitalSonoma, CA
- UCSF Medical CenterSan Francisco, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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