Individual provider Active NPI

Kelsey Ige, MD

  • Allergy Physician
  • Walnut Creek, CA
National Provider Identifier
1013414135
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A173743 Issued in CA
Practice address
370 N Wiget LN Ste 210
Walnut Creek, CA 94598-2452
Phone
(925) 935-6252
Fax
(925) 930-0942
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X A173743 CA Primary

Addresses

Primary practice location

370 N Wiget LN Ste 210
Walnut Creek, CA 94598-2452

Mailing address

370 N Wiget LN Ste 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003298 CA Practitioner - Allergy/Immunology 7416208335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Medical Group of the Bay Area IncGroup PAC ID 6507758224, 20 clinicians

Practice addresses (Care Compare)

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
99.17
Promoting interoperability
98
Improvement activities
40
Cost
55.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Group of the Bay Area Inc CurrentSince Oct 9, 2023 Accepting new patients
John Muir Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818

350 John Muir Pkwy
Ste 180
Brentwood, CA 94513
Phone (925) 513-3140

2305 Camino Ramon
Ste 225
San Ramon, CA 94583
Phone (925) 327-1450

160 Glen Cove Marina Rd E
Ste 103
Vallejo, CA 94591
Phone (707) 638-5700

370 N Wiget Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-0856

Interoperability endpoints

  • Direct secure messaging: kige164013@ehr.johnmuirhealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1013414135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGE",
        "first_name": "KELSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A173743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.